Cochlear Implantation
Effective for services performed on and after April 4, 2005, the Centers for Medicare & Medicaid Services (CMS) has expanded the coverage
for cochlear implantation to cover moderate-to-profound hearing loss in individuals with hearing test scores equal to or less than 40% correct in the best aided listening condition on tape-recorded tests of open-set sentence recognition and who demonstrate limited benefit from amplification. Also, CMS is covering cochlear implantation for individuals with open-set sentence recognition test scores of greater than 40% to less than or equal to 60% correct, where device was implanted in an acceptable clinical trial. (See Publication 100-03, chapter 1, section 50.3, for the specific coverage criteria.)
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 01, 2005
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