Payer policies › CPT 9255692556 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 92556 Payer coverage policies that name 92556 92556 appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, Premera Blue Cross.
Payer Policy Role in policy Reviewed Document Aetna Auditory Processing Disorder (APD) (0668) not covered (range 92551-92588) Oct 7, 2026 payer document Aetna Bone-Anchored Hearing Aids (0403) listed, no stance (range 92551-92557) Jul 22, 2026 payer document Blue Cross & Blue Shield of Rhode Island Evaluation of Hearing Impairment/LossHearing Tests (routine) covered if criteria are met Jun 3, 2026 payer document Premera Blue Cross Hearing Aids (Excludes Implantable Devices) listed, no stance Sep 1, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in WV.
AZ: $40.35 (outpatient_hospital), effective Oct 1, 2021 CO: $36.06 (chp_plus, non-facility), effective Jul 1, 2026 FL: $28.11 (hearing, non-facility), effective Apr 6, 2026 IL: $28.33 (audiology), effective Jan 1, 2026 IN: $35.62 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $19.46 (default, Exempt Physician), effective Aug 1, 2024 KY: $15.94 (audiology), effective Jan 1, 2026 LA: $22.50 (epsdt), effective Mar 1, 2004 MA: $33.95 (physician_medicine), effective May 1, 2024 MS: $35.94 (comprehensive), effective Jul 1, 2026 ND: $51.82 (physician), effective Aug 1, 2026 NE: $22.85 (physician, non-facility), effective Jul 1, 2026 NY: $15.15 (hearing_aid, facility), effective Jul 1, 2026 OH: $17.66 (physician), effective Jan 1, 2024 OK: $53.12 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $30.47 (audiologist, Audiologist, non-facility), effective Sep 1, 2021 VA: $40.22 (medical), effective Jul 1, 2026 VT: $45.81 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $29.24 (neurodevelopmental_centers, facility), effective Jul 1, 2026 WY: $26.09 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.