ACCESSORIES (INCLUDING WIRELESS) - ADDITIONAL ACCESSORY

GENERAL NOTES IF THE BENEFIT GRID SPECIFIES A SPECIALIST, ONLY THAT SPECIALIST IS ACCEPTED. SHOULD "MD" BE INDICATED, THE SERVICE MAY BE PRESCRIBED/RECOMMENDED BY A GENERAL PRACTITIONER OR ANY MEDICAL SPECIALIST. COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". PROVIDER MUST SUPPLY A COPY OF THE MANUFACTURER'S INVOICE. THE DOLLAR LIMIT AND/OR FEE ON THE BENEFIT GRID INCLUDES THE MARK-UP PRE-AUTHORIZATION NOT REQUIRED FOR REPLACEMENT ISSUE UNLESS OTHERWISE INDICATED. SPECIAL NOTES NOTE 33: PROVIDERS MAY BILL THE MANUFACTURER'S INVOICE PRICE PLUS UP TO A 25% MARK-UP. IF THERE IS A DOLLAR LIMIT AND/OR FEE ON THE BENEFIT GRID THIS INCLUDES THE MARK-UP. NOTE 38: THIS CODE IS ONLY TO BE USED AFTER THE FREQUENCY ON ACCESSORIES HAS BEEN REACHED (E.G. 2 ACCESSORIES FOR ENTRY LEVEL HEARING AIDS OR 3 ACCESSORIES FOR INTERMEDIATE OR ADVANCED HEARING AIDS).