Hearing Hardware Billing Guide updates May 15, 2019

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Apple Health (Medicaid) Provider Alert

Effective for dates of services on and after May 15, 2019, the Health Care Authority (HCA) published an updated Hearing Hardware Billing Guide. The updated guide is available on the HCA provider billing guides webpage.

What has changed?

HCA made the following changes to correct the guide:

  • Removed reference to EPA #870001599 from the Coverage Table under HCPCS code V5257
  • Removed reference to HCPCS code V5257 from the EPA criteria table under EPA code 870001599

See the What has changed table in the revised guide for a list of all changes, including specific details.