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  • Cochlear Implant Referral Bformb Phone 604-875-b2345b Ext Bb

Get Cochlear Implant Referral Bformb Phone 604-875-b2345b Ext Bb

Audiology and Speech Language Pathology Department COCHLEAR IMPLANT REFERRAL FORM Phone: 6048752345 ext 7723 REFERRAL SOURCE: TELEPHONE: ADDRESS: I. CHILDS NAME: D.O.B: SEX: BCCH UNIT NUMBER: P.H.N.

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CPT codes 92601-92604, when billing this code range, if bilateral analysis, fitting, and adjustments of bilateral cochlear implants, CMS recommends that a -22 modifier (unusual procedural service) be added to the applicable code.

Children with inner ear abnormality (for example, Michel malformation in which the cochlea does not develop, or complete absence of the cochlear nerve) cannot receive cochlear implants.

Typically, cochlear implant recipients must have sensorineural hearing loss (meaning the cause stems from the inner ear or cochlea). But another important factor is a person's degree of speech understanding, which is the ability to not just hear but also to distinguish words.

Children with inner ear abnormality (for example, Michel malformation in which the cochlea does not develop, or complete absence of the cochlear nerve) cannot receive cochlear implants.

Severe to profound mid to high-frequency hearing loss (threshold average of 2000, 3000, and 4000 Hz ≥75 dB HL) in the ear to be implanted.

When the auditory nerve is damaged or missing, this is known as a neural hearing loss. Hearing aids and cochlear implants cannot help because the nerve is not able to pass on sound information to the brain.

Therefore, patients with hearing losses greater than or equal to 60 dB HL (pure tone average 0.5, 1k, 2kHz) and speech understanding less than or equal to 60%,8 should be considered for a referral for a cochlear implant evaluation.

Cochlear implant referrals are accepted from Audiologists (NHS and private), ENT specialists, General Practitioners, and other specialties. Please contact your local cochlear implant centre for specific referral guidelines. For borderline cases, please contact your local cochlear implant centre for advice.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232