PINs and reimbursement schedule for non-limb prostheses

Last updated on January 31, 2024

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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.

non-limb prostheses
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)

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