PINs and reimbursement schedule for non-limb prostheses
Last updated on January 31, 2024To print this page, press CTRL+P
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) |