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December 2016 Texas Medicaid Provider Procedures Manual

Vision and HearingServices Handbook : 3 Implantable Hearing Devices and Related Services : 3.2 Services, Benefits, Limitations and Prior Authorization : 3.2.4 Sound Processor Replacement and Repair : 3.2.4.2 Limitations

3.2.4.2
Procedure code L8499 with modifier RB may be reimbursed for sound processor repair.
Repair or replacement of a sound processor is not a benefit during the manufacturer’s warranty period.

Texas Medicaid & Healthcare Partnership
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