Medicare Claims Processing Manual (Pub. 100-04), Ch. 32 § 40.2.3
Payment Requirements for Device Codes A4290, E0752 and E0756
40.2.3 – Payment Requirements for Device Codes A4290, E0752 and E0756
(Rev. 125, 03-26-04)
Payment is made on a reasonable cost basis when these devices are implanted in a CAH.