PINs and Reimbursement Schedule for Non-Limb Prostheses

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Reimbursement for non-limb prosthetic products or services is based on the type of product being supplied. Use the relevant PIN on all applications and invoices.

PIN  Description  Maximum Reimbursement 
77123177 ear prosthesis (left) $6,500
77123189 ear prosthesis (right) $6,500
77123501 nose prosthesis $6,500
77123153 ocular prosthesis (left) $3,000; or $3,100 (extra fitting required)
77123141 ocular prosthesis (right) $3,000; or $3,100 (extra fitting required)