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Date Printed: August 23, 2017: 01:38 PM

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This medical policy (medical coverage guideline) is Copyright 2017, Blue Cross and Blue Shield of Florida (BCBSF). All Rights Reserved. You may not copy or use this document or disclose its contents without the express written permission of BCBSF. The medical codes referenced in this document may be proprietary and owned by others. BCBSF makes no claim of ownership of such codes. Our use of such codes in this document is for explanation and guidance and should not be construed as a license for their use by you. Before utilizing the codes, please be sure that to the extent required, you have secured any appropriate licenses for such use. Current Procedural Terminology (CPT) is copyright 2017 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT® is a trademark of the American Medical Association. The use of specific product names is illustrative only. It is not intended to be a recommendation of one product over another, and is not intended to represent a complete listing of all products available.

01-92502-13

Original Effective Date: 02/15/04

Reviewed: 04/27/17

Revised: 05/15/17

Subject: Auditory Integration Training (AIT)

THIS MEDICAL COVERAGE GUIDELINE IS NOT AN AUTHORIZATION, CERTIFICATION, EXPLANATION OF BENEFITS, OR A GUARANTEE OF PAYMENT, NOR DOES IT SUBSTITUTE FOR OR CONSTITUTE MEDICAL ADVICE. ALL MEDICAL DECISIONS ARE SOLELY THE RESPONSIBILITY OF THE PATIENT AND PHYSICIAN. BENEFITS ARE DETERMINED BY THE GROUP CONTRACT, MEMBER BENEFIT BOOKLET, AND/OR INDIVIDUAL SUBSCRIBER CERTIFICATE IN EFFECT AT THE TIME SERVICES WERE RENDERED. THIS MEDICAL COVERAGE GUIDELINE APPLIES TO ALL LINES OF BUSINESS UNLESS OTHERWISE NOTED IN THE PROGRAM EXCEPTIONS SECTION.

           
Position Statement Billing/Coding Reimbursement Program Exceptions Definitions Related Guidelines
           
Other References Updates    
           

DESCRIPTION:

Auditory integration training (also known as AIT, auditory integration therapy integration training, auditory enhancement training, audio-psycho-phonology) involves having individuals listen to music modified to remove frequencies to which the individual demonstrates hypersensitive, with the goal of gradually increasing exposure to sensitive frequencies. Several methods of AIT have been developed, the most widely described is the Berard method, which involves 2 half-hour sessions per day separated by at least 3 hours, over 10 consecutive days, during which patients listen to recordings. AIT has been proposed for individuals with a range of developmental and behavioral disorders, including learning disabilities, autism spectrum disorder, pervasive developmental disorder, and attention-deficit/hyperactivity disorder. Other methods include the Tomatis method, which involves listening to electronically modified music and speech, and Samonas Sound Therapy, which involves listening to filtered music, voices, and nature sounds.

Prior to AIT, a detailed audiogram (audiometric testing/audiotest) is conducted, which determines auditory thresholds to a larger series of frequencies (octave and interactive frequencies) that are typically used for measuring hearing ability. An auditory training practitioner examines the audiogram looking for evidence of hyperacusis (abnormal acute hearing), which then is examined in relation to the clinical history of sound sensitivities and behavioral profile.

POSITION STATEMENT:

Auditory integration training (AIT) and ALL auditory integration programs are considered experimental or investigational as there is insufficient clinical evidence in published peer-reviewed medical literature to support the use of AIT and all auditory integration programs for all indications, and specifically for, but not limited to the following conditions:

BILLING/CODING INFORMATION:

There is no specific CPT or HCPCS code to report auditory integration training (AIT).

REIMBURSEMENT INFORMATION:

Refer to section entitled POSITION STATEMENT.

PROGRAM EXCEPTIONS:

Federal Employee Program (FEP): Follow FEP guidelines.

State Account Organization (SAO): Follow SAO guidelines.

Medicare Advantage products:

No National Coverage Determination (NCD) and/or Local Coverage Determination (LCD) were found at the time of the last guideline reviewed date.

DEFINITIONS:

No guideline specific definitions apply.

RELATED GUIDELINES:

None applicable.

OTHER:

Other names used to report auditory integration training:

Note: The use of specific product names is illustrative only. It is not intended to be a recommendation of one product over another, and is not intended to represent a complete listing of all products available.

Auditory Integration Therapy

REFERENCES:

  1. American Academy of Audiology, Position Statement: Auditory Integration Training, 2010.
  2. American Academy of Pediatrics Policy Statement: Auditory Integration Training and Facilitated Communication for Autism (RE9752), Vol. 102, No. 2, pp. 431-433, 08/98. Policy statement reaffirmed, 01/06, published 05/01/06.
  3. American Speech-Language Hearing Association Position Statement: Auditory Integration Training, 2004.
  4. Blue Cross Blue Shield Association Medical Policy Reference Manual Sensory Integration Therapy and Auditory Integration Therapy 8.03.14, 03/17.
  5. Miller MH. Comments on Auditory Integration Therapy. Hearing Health, 2006.
  6. Sinha Y, SiloveN, Wheeler D, Williams K. Auditory integration training and other sound therapies for autism spectrum disorders. The Cochrane Database of Systematic Reviews 2004, Issue 1.
  7. Sinha Y, Silove N, Wheeler D et al. Auditory integration training and other sound therapies for autism spectrum disorders: a systematic review. Archives of Disease in Childhood 2006; 91(12): 1018-1022.

COMMITTEE APPROVAL:

This Medical Coverage Guideline (MCG) was approved by the BCBSF Medical Policy & Coverage Committee on 04/27/17.

GUIDELINE UPDATE INFORMATION:

02/15/04

New Medical Coverage Guideline.

02/15/05

Scheduled review, no change in coverage statement.

02/15/06

Revised when services are not covered; add ALL auditory integration programs to investigational statement, and updated references.

02/15/07

Scheduled review. No change in investigational status, and updated references.

06/15/07

Reformatted guideline.

02/15/08

Scheduled review. No change in position statement (investigational), and updated references.

02/15/09

Scheduled review. No change in position statement (investigational), and updated references.

02/15/10

Scheduled review. No change in position statement (experimental or investigational), and updated references.

05/11/14

Revision: Program Exceptions section updated.

11/01/15

Revision: ICD-9 Codes deleted.

05/15/17

Review; no change in position statement. Revised description. Updated references.

Date Printed: August 23, 2017: 01:38 PM