LAC 50:XV.8717
LAC 50:XV.8717. Eligibility and Prior Authorization
Cite as La. Admin. Code tit. 50, pt. XV, § 8717
A. Coverage is available for cochlear implantation for recipients 1 year of age through 20 years of age with profound bilateral sensorineural hearing loss.
B. Prior Authorization. All implantations (CPT Code 69930) must be prior authorized. The request to perform surgery shall come from the cochlear implant team (made up of professionals as described in §8721 who assessed the recipient’s hearing.