LCD/NCD Portal
Automated World Health
NCD50.4
TRACHEOSTOMY SPEAKING VALVE
Effective Date of this Version
9/9/1988
Benefit Category
• Prosthetic Devices.
• Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.
Indications and Limitations of Coverage
• A trachea tube has been determined to satisfy the definition of a prosthetic device, and the tracheostomy speaking valve is an add-on to the trachea tube which may be considered a medically necessary accessory that enhances the function of the tube.
• In other words, it makes the system a better prosthesis.
• As such, a tracheostomy speaking valve is covered as an element of the trachea tube which makes the tube more effective.