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TO: Audiology Providers
RE: Coverage Update
Effective for dates of
service on or after January 1, 2026, the Alabama Medicaid Agency (Medicaid) added
coverage for the following procedure codes:
|
CPT Code
|
CPT Code Description
|
Rate
|
|
92631
|
Hearing Aid Selection Services for One or Both
Ears, First 30 Minutes
|
$32.00
|
|
92632
|
Hearing Aid Selection Services for One or Both
Ears, Each Additional 15 Minutes
|
$8.00
|
|
92634
|
Hearing Aid Fitting Services for One or Both
Ears, First 60 Minutes
|
$28.00
|
|
92635
|
Hearing Aid Fitting Services for One or Both
Ears, Each Additional 15 Minutes
|
$7.00
|
|
92636
|
Hearing Aid Post-Fitting Follow-Up Services for
One or Both Ears, First 30 Minutes
|
$28.00
|
|
92637
|
Hearing Aid Post-Fitting Follow-Up Services for
One or Both Ears, Each Additional 15 Minutes
|
$7.00
|
|
92638
|
Behavioral Verification of Amplification for
Hearing Aids
|
$17.00
|
|
92639
|
Hearing-Aid Measurement Verification with
Probe-Microphone
|
$17.00
|
|
92641
|
Hearing Device Verification Through
Electroacoustic Analysis
|
$8.00
|
The following guidelines will apply:
- Services are covered for eligible Medicaid beneficiaries ages 0 to 20
years.
- Prior authorization is not required for these procedure codes.
Providers with billing questions may call the Gainwell Technologies
Provider Assistance Center at (800) 688-7989.
The Current Procedural
Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and
other data are copyright © 2026 American Medical Association
and © 2026 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.