Medicare National Coverage Determinations (NCD) Manual (Pub. 100-03), Ch. 1 § 50.4
Tracheostomy Speaking Valve
50.4 - Tracheostomy Speaking Valve
(Rev. 1, 10-03-03)
CIM 65-16
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.