What you'll find on this page
- Learn what is typically covered by insurance
- Insurance HCPCS codes commonly used for reimbursement of Cochlear products
- Learn how to place an order for new sound processor technology
What is typically covered
Health plans have their own definitions of what is considered medically necessary, but typically includes anything that improves your hearing, or is required for the device to function, such as cables, coils, magnets, and rechargeable batteries.
Our team can help you determine if your insurance plan covers:
- Cochlear™ Implants
- Cochlear™ Baha® Systems
- Cochlear™ Wireless Accessories
- Cochlear™ Replacement Parts
Contact us today to learn more about what is typically covered by insurance and how we can help you navigate the insurance process.
Insurance intake form
Here is a list of HCPCS codes (Healthcare Common Procedure Coding System) commonly used for billing Cochlear’s products. You can discuss these with your insurance’s member services for a better understanding of how they are covered by your provider. These codes are subject to change so contact your insurance provider or Cochlear for additional support.
|Sound Processor Repair
|Repair of prosthetic device, repair or replace minor parts
|Repair of prosthetic device, labor component, per 15 minutes
|Coils and Cables
|Transmitter cable for use with cochlear implant device or auditory osseointegrated (bone conduction) device, replacement
|Transmitting coil and cable, integrated, for use with cochlear implant device, replacement
|Lithium ion battery for use with cochlear implant or auditory osseointegrated (bone conduction) device speech processor, ear level, replacement, each
|External recharging system for battery for use with cochlear implant or auditory osseointegrated (bone conduction) device, replacement only, each
|Miscellaneous Parts and Accessories
|L9900 or State Misc. Code
|Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS "L" code
|CI Sound Processor Replacement (new or same technology)
|Cochlear implant, external speech processor and controller, integrated system, replacement
|Baha Sound Processor Replacement (new or same technology)
|Auditory osseointegrated (bone conduction) device, external sound processor, excludes transducer/actuator, replacement only, each
|Baha System Without Surgical Implant
|Auditory osseointegrated (bone conduction) device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment
Billing Support for Parts and Accessories
As of Feb 1, 2018, Cochlear provides direct insurance billing support for many major private insurance plans, Medicare, Medicaid* (including HMOs) and Tricare for repairs, parts and accessories. Cochlear’s full service billing support is available for recipients who are covered under one of the plans with whom Cochlear is contracted. If you would like to place an order for a replacement part or accessory, please keep in mind orders may take up to 2 weeks to process and ship, so please plan ahead.
Please keep in mind that if you choose to self pay for an item generally covered by insurance, you may not be able to submit a claim on your own if Cochlear is contracted with your private insurance provider. Visit www.Cochlear.com/US/InsuranceList to see if Cochlear is contracted with your insurance provider. If Cochlear is contracted with your insurance provider, we suggest placing your order through Cochlear’s Reimbursement and Insurance Services. If you seek reimbursement on your own you will be solely responsible for any amounts to include contractual or discounted payments that your insurance provider does not cover.
*Cochlear is currently enrolled with Medicaid programs in the following states: AL, AZ, CA, CO, CT, DC, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MN, MS, MT, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WA, WI, WV, and WY.
Learn how to place a sound processor upgrade order
You can place an order 24 hours a day, 7 days a week on the Cochlear Online Store or call 866-477-0906 to place your order during regular business hours. If you plan to pay using insurance, you will need to provide your insurance information.
Payment process made easy
Begin by understanding the payment process for new sound processors and how we can help navigate the process.
Please seek advice from your health professional about treatments for hearing loss. Outcomes may vary, and your health professional will advise you about the factors which could affect your outcome. Always read the instructions for use. Not all products are available in all countries. Please contact your local Cochlear representative for product information.
Views expressed are those of the individual. Consult your health professional to determine if you are a candidate for Cochlear technology.
Information provided by Cochlear Americas regarding insurance coverage or reimbursement is provided as guidance only and is not intended as reimbursement or legal advice. Cochlear Americas makes no representation or warranty regarding such information or its completeness, accuracy, fitness for a particular purpose, or that following such guidance will result in any form of coverage or reimbursement from any insurer. Information presented is subject to change at any time. To be sure that you have the most current and applicable information available for your unique circumstances, please consult your own experts and seek your own legal advice regarding your reimbursement needs. In all cases, products or services billed must be medically necessary, actually performed and appropriately documented in the medical record.