CSHCN 2009 > Hearing Services > Benefits, Limitations, and Authorization Requirements

   
 

19.2.5.1 Cochlear Implant DME

Cochlear implant devices are a benefit of the CSHCN Services Program.

Replacement equipment for a cochlear implant device is also a benefit of the CSHCN Services Program. Replacement equipment includes batteries, sound processors, cables, coils, headsets, and microphones. Prior authorization is required for replacement of external sound processors and rechargeable AA batteries for a cochlear implant device.

Equipment and nonrechargeable batteries should be billed using the following procedure codes:

Procedure Codes

L8614*

L8615

L8616

L8617

L8618

L8619

L8621

L8622

*Freestanding and hospital-based ASCs must continue to submit claims with procedure code L8614 and modifier NU to be reimbursed appropriately.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2008 American Medical Association. All rights reserved.
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