|
L8608 |
 |
Miscellaneous external component, supply or accessory for use with the argus ii retinal prosthesis system
| short | Arg ii ext com/sup/acc misc |
|
|
|
L8609 |
|
Artificial cornea
| short | Artificial cornea |
| 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 | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8610 |
|
Ocular implant
| short | Ocular implant |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8612 |
|
Aqueous shunt
| short | Aqueous shunt prosthesis |
| 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 | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8613 |
|
Ossicula implant
| short | Ossicular implant |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8614 |
|
Cochlear device, includes all internal and external components
| short | Cochlear device |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8615 |
|
Headset/headpiece for use with cochlear implant device, replacement
| short | Coch implant headset replace |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8616 |
|
Microphone for use with cochlear implant device, replacement
| short | Coch implant microphone repl |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8617 |
|
Transmitting coil for use with cochlear implant device, replacement
| short | Coch implant trans coil repl |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8618 |
|
Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement
| short | Coch implant tran cable repl |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8619 |
|
Cochlear implant, external speech processor and controller, integrated system, replacement
| short | Coch imp ext proc/contr rplc |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8621 |
|
Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each
| short | Repl zinc air battery |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 360.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | OPH | 360.0 | 3 Date of Service Edit: Clinical | Clinical: Data | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8622 |
|
Alkaline battery for use with cochlear implant device, any size, replacement, each
| short | Repl alkaline battery |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8623 |
|
Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each
| short | Lith ion batt cid,non-earlvl |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8624 |
|
Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each
| short | Lith ion batt cid, ear level |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8625 |
|
External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each
| short | Charger coch impl/aoi battry |
| 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 |
|
|
|
|
L8627 |
|
Cochlear implant, external speech processor, component, replacement
| short | Cid ext speech process repl |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | | OPH | 2.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
|
|
|
L8628 |
|
Cochlear implant, external controller component, replacement
| short | Cid ext controller repl |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | | OPH | 2.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
|
|
|
L8629 |
|
Transmitting coil and cable, integrated, for use with cochlear implant device, replacement
| short | Cid transmit coil and cable |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | | OPH | 2.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
|
|