L8624 Lith ion batt cid, ear levelLithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each
3 of 3 payer prior-auth lists that name L8624 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas, Humana, Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of Texas | Texas PA exemption (gold card), outpatient, fully insured | TX | prior auth required | Gold-card exemption available | Jul 1, 2024 | BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range) |
| Humana | Humana Puerto Rico MA and Dual Medicare-Medicaid | PR | prior auth required | Nov 3, 2025 | Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plan Preauthorization and Notification | |
| Rocky Mountain Health Plans | Rocky Mountain Medicare Advantage D-SNP | CO | prior auth required | Feb 1, 2025 | Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025 |
L8624 appears in 11 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Capital Blue Cross, Centene, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Aural Rehabilitation (0034) | listed, no stance (range L8614-L8624) | Mar 10, 2026 | payer document |
| Aetna | Cochlear Implants and Auditory Brainstem Implants (0013) | covered if criteria are met | Aug 18, 2026 | payer document |
| Aetna | Meniere's Disease and Related Disorders: Surgery (0514) | not covered (range L8614-L8629) | Jul 2, 2026 | payer document |
| Aetna | Tinnitus Treatments (0406) | not covered (range L8614-L8629) | Jul 10, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Cochlear Implants | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Implantable Bone- Conduction and Bone-Anchored Hearing Aids | covered if criteria are met | Apr 16, 2025 | payer document |
| Capital Blue Cross | Cochlear Implant (MP 1.023) Procedure Codes | covered if criteria are met | Sep 1, 2026 | payer document |
| Centene | Cochlear Implant Replacements (CP.MP.14) | covered if criteria are met | May 1, 2025 | payer document |
| Regence | Cochlear Implant | listed, no stance | payer document | |
| Regence | Cochlear Implant (Surgery 08) | listed, no stance | May 1, 2026 | payer document |
| Regence | Transcutaneous Bone-Conduction and Bone-Anchored Hearing Aids (Surgery 121) | listed, no stance | Apr 1, 2026 | payer document |
Prior authorization required or conditional in FL, LA, MS, OH, VA, WA, WV.
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.