`S0618` Audiometry for hearing aid

Audiometry for hearing aid evaluation to determine the level and degree of hearing loss

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medicare pricing for S0618

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S0618

1 of 1 payer prior-auth lists that name S0618 require prior authorization or set conditions: UnitedHealthcare Community Plan.

Payer	Plan	State	Prior auth	Conditions	Since	Source
UnitedHealthcare Community Plan	Mississippi CHIP	MS	prior auth required		Apr 1, 2025	Prior authorization requirements for Mississippi Children’s Health Insurance Program Effective Apr. 1, 2025

Payer coverage policies that name S0618

S0618 appears in 2 coverage policies from Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island.

Payer	Policy	Role in policy	Reviewed	Document
Blue Cross & Blue Shield of Mississippi	Prosthetics (L.1.04.401)	covered if criteria are met		payer document
Blue Cross & Blue Shield of Rhode Island	Hearing Aid Coverage The following codes follow the unlisted code process and documentation must be submitted for review	not covered	Jan 1, 2026	payer document

Medicaid fee-for-service

CO: $76.60 (health_first_colorado), effective Jul 1, 2026
IN: $0.00 (professional, facility), effective Jan 1, 2011
ND: $0.00 (physician), effective Aug 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.

S0618 Audiometry for hearing aid