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Replacement cushions for jaw motion rehabilitation system, pkg. of 6

HCPCS code

Medical Policies and Guidelines for Replacement cushions for jaw motion rehabilitation system, pkg. of 6

Related policies from health plans

Noncovered Investigational Services
Temporomandibular Disorders - Medicare Advantage

Similar Codes


ICD10CM codes

R68.84 - Jaw pain
Z46.3 - Encounter for fitting and adjustment of dental prosthetic device
T84.320 - Displacement of electronic bone stimulator
T84.028A - Dislocation of other internal joint prosthesis, initial encounter
Z96.60 - Presence of unspecified orthopedic joint implant
T84.02 - Dislocation of internal joint prosthesis
T84.320A - Displacement of electronic bone stimulator, initial encounter
Z96.69 - Presence of other orthopedic joint implants
T84.029A - Dislocation of unspecified internal joint prosthesis, initial encounter
T84.84XA - Pain due to internal orthopedic prosthetic devices, implants and grafts, initial encounter

HCPCS codes

E1701 - Replacement cushions for jaw motion rehabilitation system, pkg. of 6
E1700 - Jaw motion rehabilitation system
E2619 - Replacement cover for wheelchair seat cushion or back cushion, each
A7032 - Cushion for use on nasal mask interface, replacement only, each
A7028 - Oral cushion for combination oral/nasal mask, replacement only, each
A7029 - Nasal pillows for combination oral/nasal mask, replacement only, pair
A7033 - Pillow for use on nasal cannula type interface, replacement only, pair
L8615 - Headset/headpiece for use with cochlear implant device, replacement
E0966 - Manual wheelchair accessory, headrest extension, each
D5120 - COMPLETE DENTURE - MANDIBULAR

CPT4 codes

21243 - Arthroplasty, temporomandibular joint, with prosthetic joint replacement
21081 - Impression and custom preparation; mandibular resection prosthesis
11970 - Replacement of tissue expander with permanent implant
65770 - Keratoprosthesis
21089 - Unlisted maxillofacial prosthetic procedure
21196 - Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation
21246 - Reconstruction of mandible or maxilla, subperiosteal implant; complete
21083 - Impression and custom preparation; palatal lift prosthesis
21085 - Impression and custom preparation; oral surgical splint
21086 - Impression and custom preparation; auricular prosthesis