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24.5.16.4 ACD System Accessories
Accessories for rental or purchase are a benefit of Home Health Services if the criteria for ACD system authorization are met and the medical necessity of each accessory is clearly documented in the SLP written evaluation.
All accessories necessary for proper use of an ACD system, including those necessary for the potential growth/expansion of the ACD system (such as a memory card), should be included in the initial prescription for purchase.
The following accessories may be considered for reimbursement if the criteria for ACD system authorization are met and the medical necessity for each accessory is clearly documented in the written evaluation:
• Access devices for an ACD system include, but are not limited to, devices that enable selection of letters, words or symbols via direct selection or tools that aid in direct selection techniques such as optical head pointers, joysticks, and ACD scanning devices.
•Gross motor access devices, such as switches and buttons, may be considered for clients with poor head and hand control.
•Fine motor, head control access devices, such as laser or infrared pointers, may be considered for clients with poor hand control and good head control.
•Moisture guard.
•Extended warranty if cost beneficial.
Use procedure code J/L-E2599 when billing for accessories for speech generating devices.
Mounting systems are devices necessary to place the ACD system, switches and other access devices within the reach of the client. Mounting devices may be considered to attach an ACD system or access device to a wheelchair or table. The make, model, and purchase date of the wheelchair or table is required when requesting a wheelchair mounting device. One additional mounting device, separate form the one included in the system, may be considered for prior authorization for the same client. Use procedure code J/L-E2512 when billing for the rental or purchase of mounting systems when a second mount is medically necessary.
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