Medicare Benefits Schedule - Item 41618

Middle ear implant, partially implantable, insertion of, via mastoidectomy, for patients with: 

(a) stable sensorineural hearing loss; and

(b) outer ear pathology that prevents the use of a conventional hearing aid; and

(c) a PTA4 of less than 80 dBHL; and

(d) bilateral, symmetrical hearing loss with PTA thresholds in both ears within 20 dBHL (0.5‑4kHz) of each other; and

(e) speech perception discrimination of at least 65% correct for word lists with appropriately amplified sound; and

(f) a normal middle ear; and

(g) normal tympanometry; and

(h) on audiometry, an air‑bone gap of less than 10 dBHL (0.5‑4kHz) across all frequencies; and

(i) no other inner ear disorders

Multiple Operation Rule

(Anaes.) (Assist.)

Fee: $2,138.30 Benefit: 75% = $1,603.75

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