Medicare Screening List - T

 

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T

Product Name

Covered/
Denied

Explanation

TELEPHONE ALERT SYSTEM

 D

emergency communications systems; not primarily medical in nature.

TELEPHONE ARM

 D

convenience item; not primarily medical in nature.

TRACHEAL CATHETERS

  

see CATHETERS.

TRACTION EQUIPMENT

if orthopedic impairment prevents the patient from walking during the period the traction equipment is in use.

TRANSCUTANEOUS ELECTRICAL NERVE STIMULATOR (TENS) AND SUPPLIES

C

if used for the treatment of chronic, intractable pain subject to the following:

  • the pain must have been present for at least three months, and
  • the presumed etiology of pain must be a type which is accepted as responding to TENS therapy (e.g. headache, visceral abdominal pain, pelvic pain, or TMJ pain)

if used for the treatment of acute post-operative pain subject to the following:

  • the medical necessity is less than 90 days from surgery date
  • limited to a two month trial period (after one month, extra documentation is necessary) after which the purchase may be covered under the Prosthetic Devices benefit.

Replacement Supplies
covered when medically necessary and used with a purchased TENS Unit.

A PHYSICIAN'S PRESCRIPTION MUST BE FURNISHED TO THE SUPPLIER PRIOR TO DELIVERY.

  ==> Prior authorization is available.

TRACHEOSTOMY CARE KITS

are covered for patients following an open surgical tracheostomy which has been or is expected to be open for at least three months.

One trachostomy care kit per day is considered necessary for routine care of a tracheostomy. Claims for additional kits for non-routine tracheostomy care must be accompanied by substantiating documentation.

TRAPEZE BAR

C

under the following conditions:

  • used in conjunction with a covered hospital bed; and
  • is bed confined and needs a trapeze bar to sit up because of a respiratory condition; or to changebody position for other medical reasons, or to get in and out of bed

TREADMILL

 D

exercise equipment; not primarily medical in nature.

TUB CHAIR

 D

comfort or convenience item; not primarily medical in nature.

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