Facial prostheses PINs
Last updated on February 23, 2026To print this page, press CTRL+P
Reimbursement for facial prostheses or services is based on the type of product being supplied. Use the relevant PIN on all applications and invoices.
Claims to PharmaCare should include labour and material costs associated with the device, as included on the pre-approval.
These costs should be claimed under the appropriate PIN, based on the side being fitted.
Prosthetic devices may be replaced:
- No sooner than 3 years from the date on the PharmaCare approval letter/form; and
- Only if it is demonstrated that the existing device no longer meets the client’s basic functionality needs.
| 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) |
| 77123165 | Ocular polishing/repairs – use ONLY if no pre-approval is required | Maximum $399.99 |
| 77123531 | Ocular polishing/repairs – use if pre‑approval is required | By approval |