About this policy
CMS National Coverage Determination | ncd_id=247 | manual_section=50.4 | coverage_level_code=1 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
A trachea tube has been determined to satisfy the definition of a prosthetic device, and the tracheostomy speaking valve is an add on to the trachea tube which may be considered a medically necessary accessory that enhances the function of the tube. In other words, it makes the system a better prosthesis. As such, a tracheostomy speaking valve is covered as an element of the trachea tube which makes the tube more effective.
Documentation requirements
Revision History: 08/1988 - Provided coverage as an accoutrement to trachea tube. Effective date 09/09/1988. (TN 30) Benefit Categories: 58 - Prosthetic Devices Transmittal: transmittal_number=30 | transmittal_issue_date=1988-08-01
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.