S2235 Implant auditory brain impImplantation of auditory brain stem implant
Status I: not valid for Medicare (Medicare uses another code).
2 of 2 payer prior-auth lists that name S2235 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas, Humana.
| 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, 2026 | 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 |
S2235 appears in 8 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, BlueCross BlueShield of South Carolina, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Cochlear Implants and Auditory Brainstem Implants (0013) | covered if criteria are met | Aug 18, 2026 | payer document |
| Anthem | Cochlear Implants and Auditory Brainstem Implants (CG-SURG-81) | covered if criteria are met | May 14, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Auditory Brainstem Implant | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Auditory Brainstem Implant | covered if criteria are met | Mar 18, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Auditory Brainstem Implant (481) | listed, no stance | payer document | |
| BlueCross BlueShield of South Carolina | Auditory Brainstem Implant (CAM 70183) | listed, no stance | Jul 1, 2026 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Auditory Brainstem Implant (SUR714.009) | listed, no stance | Oct 1, 2026 | payer document |
| Premera Blue Cross | Auditory Brainstem Implant (7.01.83) | listed, no stance | Apr 13, 2026 | payer document |
Prior authorization required or conditional in IN.
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.