Mountain State Medical Policy Bulletin |
Section: | Orthotic & Prosthetic Devices |
Number: | O-11 |
Topic: | Wigs |
Effective Date: | August 1, 2005 |
Issued Date: | August 1, 2005 |
Date Last Reviewed: | 06/2005 |
Indications and Limitations of Coverage
Wigs are not covered and not eligible for reimbursement. A participating, preferred, or network provider can bill the member for the denied service. Coverage for Prosthetics and Orthotics is determined according to individual or group customer benefits. Description Wigs, procedure code S8095, are manufactured coverings of natural or synthetic hair for the head. They are worn for various reasons, e.g. hair loss or to enhance the physical appearance. As such, they serve no identifiable medical purpose. Additionally, wigs do not meet the definition of a prosthetic device which replaces all or part of a body organ or replaces all or part of the function of a permanently inoperative or malfunctioning body organ. |
S8095 |