Passy-Muir Inc.

Tracheostomy & Ventilator Swallowing and Speaking Valves

10. Does insurance pay for the PMV?

The PMVs are Medicare and Medicaid reimbursable using the prosthetic billing code L8501. The amount of reimbursement for Medicare varies depending on the region. The amount of reimbursement for Medicaid varies from state to state. Most private insurance companies generally follow similar reimbursement guidelines. The PMVs are also reimbursable by California Children's Services using the code #7549. The PMVs are also reimbursable through MediCal by using Misc. Supply Code #9981K with modifier ZZ (include a copy of invoice with re-order number).

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