The new CPT hearing aid service codes, that are slated to go into effect on January 1, 2026, completely alter the hearing aid billing landscape. In this presentation, we will provide a detailed discussion on each code, their probable and appropriate uses, modifiers, and documentation requirements.
In light of these changes and their potential impact on practice operations and revenues, will also discuss the pros and cons of health plan network participation, including the steps to evaluating a health plan contracts and allowable rates schedules. We will provide a step-by-step guide to evaluating a specific managed care agreement and making the business decision on network participation.
Attendees will be able to:
- List the new hearing aid service codes for 2026
- List the CPT codes that are scheduled to be deleted on January 1, 2026
- List the common pros and cons of health plan network participation
- Locate applicable health plan medical and coverage policies
- Describe the steps required to make health plan participation decisions
