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Coding and Billing for CROS and BiCROS Systems

Coding and Billing for CROS and BiCROS Systems

The Academy of Doctors of Audiology (ADA), the American Academy of Audiology (AAA), and the American Speech-Language-Hearing Association (ASHA) collaborated on the following guidance regarding the appropriate billing and coding of CROS (Contralateral Routing Of Signal) and BiCROS (Bilateral Contralateral Routing Of Signal) systems.

Unless you are specifically instructed to do so by the payer, it may be considered a fraudulent billing practice to submit a claim for both a CROS instrument and a hearing aid. Please read and review your Medicaid and third-party payer contracts to determine the coverage specifics related to CROS and BiCROS for each payer. State Medicaid programs may have specific coding and coverage guidance unique to provision of these devices in a particular state. As indicated in previous joint communications, it may be useful to itemize/unbundle the hearing aid claims to maximize third-party reimbursement of these devices.