What is typically covered by insurance

Cochlear’s reimbursement and insurance services provides support and information to help you understand what is typically covered by insurance and payment options.

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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

Learn what your insurance plan covers.

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HCPCS codes

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.

Cochlear Item

HCPCS Codes

Description

Sound Processor Repair L7510 Repair of prosthetic device, repair or replace minor parts
  L7520 Repair of prosthetic device, labor component, per 15 minutes
Coils and Cables L8618 Transmitter cable for use with cochlear implant device or auditory osseointegrated (bone conduction) device, replacement
  L8629 Transmitting coil and cable, integrated, for use with cochlear implant device, replacement
Rechargeable Batteries L8624 Lithium ion battery for use with cochlear implant or auditory osseointegrated (bone conduction) device speech processor, ear level, replacement, each
Battery Charger L8625 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) L8619 Cochlear implant, external speech processor and controller, integrated system, replacement
Baha Sound Processor Replacement (new or same technology) L8691 Auditory osseointegrated (bone conduction) device, external sound processor, excludes transducer/actuator, replacement only, each
Baha System Without Surgical Implant L8692 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.


Disclaimer

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.

For a full list of Cochlear’s trademarks, please visit our Terms of Use page.

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.