|
L8500 |
 |
Artificial larynx, any type
| short | Artificial larynx |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | | DME | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
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|
L8501 |
|
Tracheostomy speaking valve
| short | Tracheostomy speaking valve |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
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L8505 |
|
Artificial larynx replacement battery / accessory, any type
| short | Artificial larynx, accessory |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8507 |
|
Tracheo-esophageal voice prosthesis, patient inserted, any type, each
| short | Trach-esoph voice pros pt in |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | DME | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
L8509 |
|
Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type
| short | Trach-esoph voice pros md in |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8510 |
|
Voice amplifier
| short | Voice amplifier |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | | DME | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
|
|
|
L8511 |
|
Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each
| short | Indwelling trach insert |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
L8512 |
|
Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10
| short | Gel cap for trach voice pros |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 9.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
L8513 |
|
Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each
| short | Trach pros cleaning device |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 6.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
L8514 |
|
Tracheoesophageal puncture dilator, replacement only, each
| short | Repl trach puncture dilator |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
L8515 |
|
Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each
| short | Gel cap app device for trach |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
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