The administration covers:
- Cochlear implant external speech processors, including maintenance, repair, and batteries.
- Baha® speech processors, including maintenance, repair, and batteries.
The administration pays for cochlear implant and Baha® replacement parts when:
- The manufacturer's warranty has expired.
- The part is for immediate use, not a back-up part.
- The part needs to be replaced due to normal wear and tear and is not related to misuse or abuse of the item
When reimbursing for battery packs, the administration covers the least costly, equally effective
product.
What is not covered?
The administration does not cover the following hearing and hearing aid-related items and
services for clients age 21 and older:
- Tinnitus maskers
- Group screenings for hearing loss
Note:
Reimbursement for all hearing instruments dispensed includes:
- A prefitting evaluation;
- An ear mold; and
- A minimum of three post-fitting consultations.
Legend
Modifiers: RA = Replacement of DME Item
RB = Replacement Part of DME Item
LT = Left
RT = Right
RR = Rental
|
Blanket Code
|
HCPCS Code
|
Short
Description
|
|
SA893
|
L7510
|
Prosthetic device repair rep
|
|
SA893
|
L8615
|
Coch implant headset replace
|
|
SA893
|
L8616
|
Coch implant microphone repl
|
|
SA893
|
L8617
|
Coch implant trans coil repl
|
|
SA893
|
L8618
|
Coch implant tran cable repl
|
|
SA893
|
L8619
|
Coch imp ext proc/contr rplc
|
|
SA893
|
L8621
|
Repl zinc air battery
|
|
SA893
|
L8622
|
Repl alkaline battery
|
|
SA893
|
L8623
|
Lith ion batt CID,non-earlvl
|
|
SA893
|
L8624
|
Lith ion batt CID, ear level
|
|
SA893
|
L8627
|
CID ext speech process repl
|
|
SA893
|
L8628
|
CID ext controller repl
|
|
SA893
|
L8629
|
CID transmit coil and cable
|
|
SA893
|
L8691
|
Osseointegrated snd proc rpl
|
|
SA893
|
L8692
|
Non-osseointegrated snd proc
|
|
SA893
|
L8693
|
Auditory osseointegrated device abutment, replacement only
|
|
SA893
|
L9900
|
O&P supply/accessory/service
|
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