V5220 Behind ear bicros hearing ai

Hearing aid, bicros, behind the ear

Payer policies and prior authorization for V5220

1 of 1 payer prior-auth lists that name V5220 require prior authorization or set conditions: Blue Cross and Blue Shield of New Mexico.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross and Blue Shield of New MexicoTurquoise Care (New Mexico Medicaid)NMprior auth requiredOct 1, 2026New Mexico Medicaid Benefit Preauthorization Procedure Code List 10/1/26

Payer coverage policies that name V5220

V5220 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBone-Anchored Hearing Aids (0403)listed, no stance (range V5008-V5299)Jul 22, 2026payer document
AetnaTinnitus Treatments (0406)not covered (range V5010-V5267)Jul 10, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in VA.

  • WY: $0.00 (professional), effective Jan 1, 2019

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.