|
L8690 |
 |
Auditory osseointegrated device, includes all internal and external components
| short | Aud osseo dev, int/ext comp |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 2 Date of Service Edit: Policy | Nature of Equipment | | OPH | 2.0 | 2 Date of Service Edit: Policy | Nature of Equipment | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
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L8691 |
|
Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each
| short | Aoi snd proc repl excl actua |
| 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 | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
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L8692 |
|
Auditory osseointegrated device, external sound processor, used without osseointegration, body worn, includes headband or other means of external attachment
| short | Non-osseointegrated snd proc |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8693 |
|
Auditory osseointegrated device abutment, any length, replacement only
| short | Aud osseo dev, abutment |
| 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 | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
|
L8694 |
|
Auditory osseointegrated device, transducer/actuator, replacement only, each
| short | Aoi transducer/actuator repl |
| 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 |
|
|
|
|
L8695 |
|
External recharging system for battery (external) for use with implantable neurostimulator, replacement only
| short | External recharg sys extern |
| 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 | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
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L8696 |
|
Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each
| short | Ext antenna phren nerve stim |
| 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 |
|
|
|
|
L8698 |
|
Miscellaneous component, supply or accessory for use with total artificial heart system
| short | Misc used with tot art heart |
|
|
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L8699 |
|
Prosthetic implant, not otherwise specified
| short | Prosthetic implant nos |
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|
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L8701 |
|
Powered upper extremity range of motion assist device, elbow, wrist, hand with single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
| short | Pow ue rom dev ewh uprt cust |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
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L8702 |
|
Powered upper extremity range of motion assist device, elbow, wrist, hand, finger, single or double upright(s), includes microprocessor, sensors, all components and accessories, custom fabricated
| short | Pow ue rom dev ewhf uprt cus |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | DME | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
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|
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L9900 |
|
Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code
| short | O&p supply/accessory/service |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| DME | 0.0 | 3 Date of Service Edit: Clinical | Code Descriptor / CPT Instruction |
|
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