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Medicare Coverage Database

NCD for Tracheostomy Speaking Valve (50.4)

Publication Number

100-3

Manual Section Number

50.4

Version Number

1

Effective Date of this Version

9/9/1988

Benefit Category

Prosthetic Devices

Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Indications and Limitations of Coverage
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.
Transmittal Number

30

Revision History

08/1988 - Provided coverage as an accoutrement to trachea tube. Effective date 09/09/1988. (TN 30)



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