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

   
 

19.2.5.3 Sound Processor Replacement Guidelines

Unless ordered by a physician, a processor must be used for 12 months before the replacement of a unit is considered for reimbursement. The replacement of a sound processor requires prior authorization with adjustment to reimbursement based on the manufacturer's trade-in policy. The physician must submit documentation of medical necessity when requesting prior authorization for the replacement of the sound processor.


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