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E1701
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
POINT32
Noncovered Investigational Services
HUMANA
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