Commonwealth of Massachusetts Executive Office of Health and Human Services Office of Medicaid 600 Washington Street Boston, MA 02111 www.mass.gov/masshealth MASSHEALTH TRANSMITTAL LETTER PRT-18 June 2006 TO: Prosthetic Providers Participating in MassHealth FROM: Beth Waldman, Medicaid Director RE: Prosthetics Manual (Coverage of Medically Necessary Prosthetics to Members Aged 21 Years or Older) Due to a new state law, effective July 1, 2006, MassHealth will cover medically necessary prosthetic services for eligible members aged 21 years or older (adults). This letter transmits a revised Subchapter 6 of the Prosthetics Manual that reflects the new coverage for adults. The revised Subchapter 6 has also been reformatted. Subchapter 6 now lists all covered service codes in alphanumeric order, and includes age restrictions, prior-authorization requirements, limitations, and modifier requirements. The requirements and limitations listed in the attached Subchapter 6 are in addition to all other requirements and conditions of payment in MassHealth regulations at 130 CMR 428.000 and 450.000. Refer to the Centers for Medicare and Medicaid Services (CMS) Web site at www.cms.gov for a full description of the service codes. Providers may submit a request for prior-authorization for medically necessary additional units beyond the specified maximum units. The request must be submitted before the additional units are provided and must be supported by documentation of medical necessity. Please Note: Services identified in the service descriptions of Level II HCPCS service codes as specifically pertaining to infants, children, or juniors are not covered for adults. If you have any questions about the information in this transmittal letter please contact MassHealth Customer Service at 1-800-841-2900, e-mail your inquiry to providersupport@mahealth.net, or fax your inquiry to 617-988-8974. This transmittal letter, including the attached pages, and other publications issued by MassHealth are available on the MassHealth Web site at www.mass.gov/masshealth. Click on MassHealth Regulations and Other Publications, then on Provider Library. NEW MATERIAL (The pages listed here contain new or revised language.) Prosthetics Manual Pages iv, vi, vii, and 6-1 through 6-10 OBSOLETE MATERIAL (The pages listed here are no longer in effect.) Prosthetics Manual Page iv — transmitted by Transmittal Letter PRT-16 Pages vi and 6-1 through 6-10 — transmitted by Transmittal Letter PRT-17 Page vii — transmitted by Transmittal Letter PRT-12 Commonwealth of Massachusetts MassHealth Provider Manual Series Subchapter Number and Title Table of Contents Page iv Prosthetics Manual Transmittal Letter PRT-18 Date 07/01/06 4. Program Regulations 428.401: Introduction 4-1 428.402: Definitions 4-1 428.403: Eligible Members 4-2 428.404: Provider Eligibility 4-3 428.405: Provider Responsibility 4-3 428.406: Covered Services 4-3 428.407: Service Limitations 4-4 428.408: Noncovered Services 4-4 428.409: Prescription Requirements 4-4 428.410: Prosthetic Equipment Provided to Institutionalized Members 4-5 428.411: Repairs of Prosthetic Equipment 4-5 428.412: Prior Authorization 4-5 428.413: Procedure for Requesting Prior Authorization 4-6 428.414: Medicare Coverage 4-7 (130 CMR 428.415 through 428.419 Reserved) 428.420: Payment for Prosthetic Services 4-8 428.421: Individual Consideration 4-8 428.422: Adjusted Acquisition Cost 4-9 428.423: Recordkeeping Requirements 4-9 Commonwealth of Massachusetts MassHealth Provider Manual Series Subchapter Number and Title Table of Contents Page vi Prosthetics Manual Transmittal Letter PRT-18 Date 07/01/06 6. Service Codes Introduction 6-1 Service Codes, Limitations, and Special Requirements 6-1 Appendix A. Directory A1 Appendix B. Enrollment Centers B1 Appendix C. ThirdParty-Liability Codes C1 Appendix W. EPSDT Services: Medical Protocol And Periodicity Schedule W-1 Appendix X. Family Assistance Copayments And Deductibles X-1 Appendix Y. REVS/Codes Messages Y-1 Appendix Z. EPSDT Services Laboratory Codes Z-1 Commonwealth of Massachusetts MassHealth Provider Manual Series Subchapter Number and Title Preface Page vii Prosthetics Manual Transmittal Letter PRT-18 Date 07/01/06 The regulations and instructions governing provider participation in MassHealth are published in the Provider Manual Series. MassHealth publishes a separate manual for each provider type. Manuals in the series contain administrative regulations, billing regulations, program regulations, service codes, billing instructions, and general information. MassHealth regulations are incorporated into the Code of Massachusetts Regulations (CMR), a collection of regulations promulgated by state agencies within the Commonwealth and by the Secretary of State. MassHealth regulations are assigned Title 130 of the Code. The regulations governing provider participation in MassHealth are assigned Chapters 400 through 499 within Title 130. Pages that contain regulatory material have a CMR chapter number in the banner beneath the subchapter number and title. Administrative regulations and billing regulations apply to all providers and are contained in 130 CMR Chapter 450.000. These regulations are reproduced as Subchapters 1, 2, and 3 in this and all other manuals. Program regulations cover matters that apply specifically to the type of provider for which the manual was prepared. For prosthetics providers, those matters are covered in 130 CMR Chapter 428.000, reproduced as Subchapter 4 in the Prosthetics Manual. Revisions and additions to the manual are made as needed by means of transmittal letters, which furnish instructions for making changes by hand ("penandink" revisions), and by substituting, adding, or removing pages. Some transmittal letters will be directed to all providers; others will be addressed to providers in specific provider types. In this way, a provider will receive all those transmittal letters that affect its manual, but no others. The Provider Manual Series is intended for the convenience of providers. Neither this nor any other manual can or should contain every federal and state law and regulation that might affect a provider's participation in MassHealth. The provider manuals represent instead MassHealth’s effort to give each provider a single convenient source for the essential information providers need in their routine interaction with MassHealth and its members. 601 Introduction MassHealth pays for the services represented by the codes listed in Section 602 in effect at the time of service, subject to all the conditions and limitations in Subchapter 6 and in MassHealth regulations at 130 CMR 428.000 and 450.000. The provider may request prior authorization (PA) for prosthetic services to eligible members, if additional units are medically necessary. Please Note: Service codes that require PA only when the number of units exceeds the limitations for the code in Section 602 are listed as requiring PA “Sometimes.” 602 Service Codes and Limitations Service Code Age Limitation? PA Required? Limitations and Requirements Required Modifiers L5000 No Sometimes 1 per 36 months RT LT L5010 No Sometimes 2 per 12 months RT LT L5020 No Sometimes 2 per 12 months RT LT L5050 No Sometimes 2 per 12 months RT LT L5060 No Sometimes 2 per 12 months RT LT L5100 No Sometimes 2 per 12 months RT LT L5105 No Sometimes 2 per 12 months RT LT L5150 No Sometimes 2 per 12 months RT LT L5160 No Sometimes 2 per 12 months RT LT L5200 No Sometimes 2 per 12 months RT LT L5210 No Sometimes 2 per 12 months RT LT L5220 No Sometimes 2 per 12 months RT LT L5230 No Sometimes 2 per 12 months RT LT L5250 No Sometime 2 per 12 months RT LT L5270 No Sometime 2 per 12 months RT LT L5280 No Sometime 2 per 12 months RT LT L5301 No Sometimes 2 per 12 months RT LT L5311 No Sometimes 2 per 12 months RT LT L5321 No Sometimes 2 per 12 months RT LT L5331 No Sometimes 2 per 12 months RT LT L5341 No Sometimes 2 per 12 months RT LT L5400 No Sometimes 2 per 12 months RT LT L5410 No Sometimes 2 per 12 months RT LT L5420 No Sometimes 2 per 12 months RT LT L5430 No Sometimes 2 per 12 months RT LT L5450 No Sometimes 2 per 12 months RT LT L5460 No Sometimes 2 per 12 months RT LT L5500 No Sometimes 2 per 12 months RT LT L5505 No Sometimes 2 per 12 months RT LT L5510 No Sometimes 2 per 12 months RT LT L5520 No Sometimes 2 per 12 months RT LT L5530 No Sometimes 2 per 12 months RT LT Service Code Age Limitation? PA Required? Limitations and Requirements Required Modifiers L5535 No Sometimes 2 per 12 months RT LT L5540 No Sometimes 2 per 12 months RT LT L5560 No Sometimes 2 per 12 months RT LT L5570 No Sometimes 2 per 12 months RT LT L5580 No Sometimes 2 per 12 months RT LT L5585 No Sometimes 2 per 12 months RT LT L5590 No Sometimes 2 per 12 months RT LT L5595 No Sometimes 2 per 12 months RT LT L5600 No Sometimes 2 per 12 months RT LT L5610 No Sometimes 2 per 12 months RT LT L5611 No Sometimes 2 per 12 months RT LT L5613 No Sometimes 2 per 12 months RT LT L5614 No Sometimes 2 per 12 months RT LT L5616 No Sometimes 2 per 12 months RT LT L5617 No Sometimes 2 per 12 months RT LT L5618 No Sometimes 2 per 12 months RT LT L5620 No Sometimes 2 per 12 months RT LT L5622 No Sometimes 2 per 12 months RT LT L5624 No Sometimes 2 per 12 months RT LT L5626 No Sometimes 2 per 12 months RT LT L5628 No Sometimes 2 per 12 months RT LT L5629 No Sometimes 2 per 12 months RT LT L5630 No Sometimes 2 per 12 months RT LT L5631 No Sometimes 2 per 12 months RT LT L5632 No Sometimes 2 per 12 months RT LT L5634 No Sometimes 2 per 12 months RT LT L5636 No Sometimes 2 per 12 months RT LT L5637 No Sometimes 2 per 12 months RT LT L5638 No Sometimes 2 per 12 months RT LT L5639 No Sometimes 2 per 12 months RT LT L5640 No Sometimes 2 per 12 months RT LT L5642 No Sometimes 2 per 12 months RT LT L5643 No Sometimes 2 per 12 months RT LT L5644 No Sometimes 2 per 12 months RT LT L5645 No Sometimes 2 per 12 months RT LT L5646 No Sometimes 2 per 12 months RT LT L5647 No Sometimes 2 per 12 months RT LT L5648 No Sometimes 2 per 12 months RT LT L5649 No Sometimes 2 per 12 months RT LT L5650 No Sometimes 2 per 12 months RT LT L5651 No Sometimes 2 per 12 months RT LT L5652 No Sometimes 2 per 12 months RT LT L5653 No Sometimes 2 per 12 months RT LT L5654 No Sometimes 4 per 12 months RT LT L5655 No Sometimes 4 per 12 months RT LT L5656 No Sometimes 4 per 12 months RT LT L5658 No Sometimes 4 per 12 months RT LT L5661 No Sometimes 4 per 12 months RT LT L5665 No Sometimes 4 per 12 months RT LT L5666 No Sometimes 2 per 12 months RT LT L5668 No Sometimes 2 per 12 months RT LT L5670 No Sometimes 2 per 12 months RT LT L5671 No Sometimes 2 per 12 months RT LT L5672 No Sometimes 2 per 12 months RT LT L5674 No Sometimes 2 per 12 months RT LT L5675 No Sometimes 2 per 12 months RT LT L5676 No Sometimes 2 per 12 months RT LT L5677 No Sometimes 2 per 12 months RT LT L5678 No Sometimes 2 per 12 months RT LT L5680 No Sometimes 2 per 12 months RT LT L5682 No Sometimes 2 per 12 months RT LT L5684 No Sometimes 2 per 12 months RT LT L5686 No Sometimes 2 per 12 months RT LT L5688 No Sometimes 2 per 12 months RT LT L5690 No Sometimes 2 per 12 months RT LT L5692 No Sometimes 2 per 12 months RT LT L5694 No Sometimes 2 per 12 months RT LT L5695 No Sometimes 2 per 12 months RT LT L5696 No Sometimes 2 per 12 months RT LT L5697 No Sometimes 2 per 12 months RT LT L5698 No Sometimes 2 per 12 months RT LT L5699 No Sometimes 2 per 12 months RT LT L5700 No Sometimes 2 per 12 months RT LT L5701 No Sometimes 2 per 12 months RT LT L5702 No Sometimes 2 per 12 months RT LT L5704 No Sometimes 2 per 12 months RT LT L5705 No Sometimes 2 per 12 months RT LT L5706 No Sometimes 2 per 12 months RT LT L5707 No Sometimes 2 per 12 months RT LT L5710 No Sometimes 2 per 12 months RT LT L5711 No Sometimes 2 per 12 months RT LT L5712 No Sometimes 2 per 12 months RT LT L5714 No Sometimes 2 per 12 months RT LT L5716 No Sometimes 2 per 12 months RT LT L5718 No Sometimes 2 per 12 months RT LT L5722 No Sometimes 2 per 12 months RT LT L5724 No Sometimes 2 per 12 months RT LT L5726 No Sometimes 2 per 12 months RT LT L5728 No Sometimes 2 per 12 months RT LT L5780 No Sometimes 2 per 12 months RT LT L5781 No Sometimes 2 per 12 months RT LT L5782 No Sometimes 2 per 12 months RT LT L5785 No Sometimes 2 per 12 months RT LT L5790 No Sometimes 2 per 12 months RT LT L5795 No Sometimes 2 per 12 months RT LT L5810 No Sometimes 2 per 12 months RT LT L5811 No Sometimes 2 per 12 months RT LT L5812 No Sometimes 2 per 12 months RT LT L5814 No Sometimes 2 per 12 months RT LT L5816 No Sometimes 2 per 12 months RT LT L5818 No Sometimes 2 per 12 months RT LT L5822 No Sometimes 2 per 12 months RT LT L5824 No Sometimes 2 per 12 months RT LT L5826 No Sometimes 2 per 12 months RT LT L5828 No Sometimes 2 per 12 months RT LT L5830 No Sometimes 2 per 12 months RT LT L5840 No Sometimes 2 per 12 months RT LT L5845 No Sometimes 2 per 12 months RT LT L5846 No Sometimes 2 per 12 months RT LT L5847 No Sometimes 2 per 12 months RT LT L5848 No Sometimes 2 per 12 months RT LT L5850 No Sometimes 2 per 12 months RT LT L5855 No Sometimes 2 per 12 months RT LT L5910 No Sometimes 2 per 12 months RT LT L5920 No Sometimes 2 per 12 months RT LT L5925 No Sometimes 2 per 12 months RT LT L5930 No Sometimes 2 per 12 months RT LT L5940 No Sometimes 2 per 12 months RT LT L5950 No Sometimes 2 per 12 months RT LT L5960 No Sometimes 2 per 12 months RT LT L5962 No Sometimes 2 per 12 months RT LT L5964 No Sometimes 2 per 12 months RT LT L5966 No Sometimes 2 per 12 months RT LT L5968 No Sometimes 2 per 12 months RT LT L5970 No Sometimes 2 per 12 months RT LT L5972 No Sometimes 2 per 12 months RT LT L5974 No Sometimes 2 per 12 months RT LT L5975 No Sometimes 2 per 12 months RT LT L5976 No Sometimes 2 per 12 months RT LT L5978 No Sometimes 2 per 12 months RT LT L5979 No Sometimes 2 per 12 months RT LT L5980 No Sometimes 2 per 12 months RT LT L5981 No Sometimes 2 per 12 months RT LT L5982 No Sometimes 2 per 12 months RT LT L5984 No Sometimes 2 per 12 months RT LT L5985 No Sometimes 2 per 12 months RT LT L5986 No Sometimes 2 per 12 months RT LT L5987 No Sometimes 2 per 12 months RT LT L5988 No Sometimes 2 per 12 months RT LT L5989 No Sometimes 2 per 12 months RT LT L5990 No Sometimes 2 per 12 months RT LT L5995 No Sometimes 2 per 12 months RT LT L5999 No Sometimes -- RT LT L6000 No Sometimes 2 per 12 months RT LT L6010 No Sometimes 2 per 12 months RT LT L6020 No Sometimes 2 per 12 months RT LT L6025 No Sometimes 2 per 12 months RT LT L6050 No Sometimes 2 per 12 months RT LT L6055 No Sometimes 2 per 12 months RT LT L6100 No Sometimes 2 per 12 months RT LT L6110 No Sometimes 2 per 12 months RT LT L6120 No Sometimes 2 per 12 months RT LT L6130 No Sometimes 2 per 12 months RT LT L6200 No Sometimes 2 per 12 months RT LT L6205 No Sometimes 2 per 12 months RT LT L6250 No Sometimes 2 per 12 months RT LT L6300 No Sometimes 2 per 12 months RT LT L6310 No Sometimes 2 per 12 months RT LT L6320 No Sometimes 2 per 12 months RT LT L6350 No Sometimes 2 per 12 months RT LT L6360 No Sometimes 2 per 12 months RT LT L6370 No Sometimes 2 per 12 months RT LT L6380 No Sometimes 2 per 12 months RT LT L6382 No Sometimes 2 per 12 months RT LT L6384 No Sometimes 2 per 12 months RT LT L6386 No Sometimes 2 per 12 months RT LT L6388 No Sometimes 2 per 12 months RT LT L6400 No Sometimes 2 per 12 months RT LT L6450 No Sometimes 2 per 12 months RT LT L6500 No Sometimes 2 per 12 months RT LT L6550 No Sometimes 2 per 12 months RT LT L6570 No Sometimes 2 per 12 months RT LT L6580 No Sometimes 2 per 12 months RT LT L6582 No Sometimes 2 per 12 months RT LT L6584 No Sometimes 2 per 12 months RT LT L6586 No Sometimes 2 per 12 months RT LT L6588 No Sometimes 2 per 12 months RT LT L6590 No Sometimes 2 per 12 months RT LT L6600 No Sometimes 2 per 12 months RT LT L6605 No Sometimes 2 per 12 months RT LT L6610 No Sometimes 2 per 12 months RT LT L6615 No Sometimes 2 per 12 months RT LT L6616 No Sometimes 2 per 12 months RT LT L6620 No Sometimes 2 per 12 months RT LT L6623 No Sometimes 2 per 12 months RT LT L6625 No Sometimes 2 per 12 months RT LT L6628 No Sometimes 2 per 12 months RT LT L6629 No Sometimes 2 per 12 months RT LT L6630 No Sometimes 2 per 12 months RT LT L6632 No Sometimes 2 per 12 months RT LT L6635 No Sometimes 2 per 12 months RT LT L6637 No Sometimes 2 per 12 months RT LT L6638 No Sometimes 2 per 12 months RT LT L6640 No Sometimes 2 per 12 months RT LT L6641 No Sometimes 2 per 12 months RT LT L6642 No Sometimes 2 per 12 months RT LT L6645 No Sometimes 2 per 12 months RT LT L6646 No Sometimes 2 per 12 months RT LT L6647 No Sometimes 2 per 12 months RT LT L6648 No Sometimes 2 per 12 months RT LT L6650 No Sometimes 2 per 12 months RT LT L6655 No Sometimes 2 per 12 months RT LT L6660 No Sometimes 2 per 12 months RT LT L6665 No Sometimes 2 per 12 months RT LT L6670 No Sometimes 2 per 12 months RT LT L6672 No Sometimes 2 per 12 months RT LT L6675 No Sometimes 2 per 12 months RT LT L6676 No Sometimes 2 per 12 months RT LT L6680 No Sometimes 2 per 12 months RT LT L6682 No Sometimes 2 per 12 months RT LT L6682 No Sometimes 2 per 12 months RT LT L6684 No Sometimes 2 per 12 months RT LT L6686 No Sometimes 2 per 12 months RT LT L6687 No Sometimes 2 per 12 months RT LT L6688 No Sometimes 2 per 12 months RT LT L6689 No Sometimes 2 per 12 months RT LT L6690 No Sometimes 2 per 12 months RT LT L6691 No Sometimes 4 per 12 months RT LT L6692 No Sometimes 4 per 12 months RT LT L6693 No Sometimes 2 per 12 months RT LT L6700 No Sometimes 2 per 12 months RT LT L6705 No Sometimes 2 per 12 months RT LT L6710 No Sometimes 2 per 12 months RT LT L6715 No Sometimes 2 per 12 months RT LT L6720 No Sometimes 2 per 12 months RT LT L6725 No Sometimes 2 per 12 months RT LT L6730 No Sometimes 2 per 12 months RT LT L6735 No Sometimes 2 per 12 months RT LT L6740 No Sometimes 2 per 12 months RT LT L6745 No Sometimes 2 per 12 months RT LT L6750 No Sometimes 2 per 12 months RT LT L6755 No Sometimes 2 per 12 months RT LT L6765 No Sometimes 2 per 12 months RT LT L6770 No Sometimes 2 per 12 months RT LT L6775 No Sometimes 2 per 12 months RT LT L6780 No Sometimes 2 per 12 months RT LT L6790 No Sometimes 2 per 12 months RT LT L6795 No Sometimes 2 per 12 months RT LT L6800 No Sometimes 2 per 12 months RT LT L6805 No Sometimes 2 per 12 months RT LT L6806 No Sometimes 2 per 12 months RT LT L6807 No Sometimes 2 per 12 months RT LT L6808 No Sometimes 2 per 12 months RT LT L6809 No Sometimes 2 per 12 months RT LT L6810 No Sometimes 2 per 12 months RT LT L6825 No Sometimes 2 per 12 months RT LT L6830 No Sometimes 2 per 12 months RT LT L6835 No Sometimes 2 per 12 months RT LT L6840 No Sometimes 2 per 12 months RT LT L6845 No Sometimes 2 per 12 months RT LT L6850 No Sometimes 2 per 12 months RT LT L6855 No Sometimes 2 per 12 months RT LT L6860 No Sometimes 2 per 12 months RT LT L6865 No Sometimes 2 per 12 months RT LT L6867 No Sometimes 2 per 12 months RT LT L6868 No Sometimes 2 per 12 months RT LT L6870 No Sometimes 2 per 12 months RT LT L6872 No Sometimes 2 per 12 months RT LT L6873 No Sometimes 2 per 12 months RT LT L6875 No Sometimes 2 per 12 months RT LT L6880 No Sometimes 2 per 12 months RT LT L6881 No Sometimes 2 per 12 months RT LT L6882 No Sometimes 2 per 12 months RT LT L6890 No Sometimes 2 per 12 months RT LT L6895 No Sometimes 2 per 12 months RT LT L6900 No Sometimes 2 per 12 months RT LT L6905 No Sometimes 2 per 12 months RT LT L6910 No Sometimes 2 per 12 months RT LT L6915 No Sometimes 2 per 12 months RT LT L6920 No Sometimes 2 per 12 months RT LT L6925 No Sometimes 2 per 12 months RT LT L6930 No Sometimes 2 per 12 months RT LT L6935 No Sometimes 2 per 12 months RT LT L6940 No Sometimes 2 per 12 months RT LT L6945 No Sometimes 2 per 12 months RT LT L6950 No Sometimes 2 per 12 months RT LT L6955 No Sometimes 2 per 12 months RT LT L6960 No Sometimes 2 per 12 months RT LT L6965 No Sometimes 2 per 12 months RT LT L6970 No Sometimes 2 per 12 months RT LT L6975 No Sometimes 2 per 12 months RT LT L7010 No Sometimes 2 per 12 months RT LT L7015 No Sometimes 2 per 12 months RT LT L7020 No Sometimes 2 per 12 months RT LT L7025 No Sometimes 2 per 12 months RT LT L7030 No Sometimes 2 per 12 months RT LT L7035 No Sometimes 2 per 12 months RT LT L7040 No Sometimes 2 per 12 months RT LT L7045 No Sometimes 2 per 12 months RT LT L7170 No Sometimes 2 per 12 months RT LT L7180 No Sometimes 2 per 12 months RT LT L7185 No Sometimes 2 per 12 months RT LT L7186 No Sometimes 2 per 12 months RT LT L7190 No Sometimes 2 per 12 months RT LT L7191 No Sometimes 2 per 12 months RT LT L7260 No Sometimes 2 per 12 months RT LT L7261 No Sometimes 2 per 12 months RT LT L7266 No Sometimes 2 per 12 months RT LT L7272 No Sometimes 2 per 12 months RT LT L7274 No Sometimes 2 per 12 months RT LT L7360 No Sometimes 4 per 12 months RT LT L7362 No Sometimes 1 per 12 months RT LT L7364 No Sometimes 4 per 12 months RT LT L7366 No Sometimes 2 per 12 months RT LT L7367 No Sometimes 2 per 12 months RT LT L7368 No Sometimes 1 per 12 months RT LT L7499 No Sometimes 4 per 12 months RT LT L7510 No Sometimes 4 per 12 months RT LT L7520 No Sometimes 4 per 12 months RT LT L8000 No Sometimes 4 per 12 months RT LT L8001 No Sometimes 4 per 12 months RT LT L8002 No Sometimes 4 per 12 months RT LT L8010 No Sometimes 4 per 12 months RT LT L8015 No Sometimes 4 per 12 months RT LT L8020 No Sometimes 4 per 12 months RT LT L8030 No Sometimes 4 per 12 months RT LT L8100 No Yes 4 per 12 months RT LT L8120 No Yes 4 per 12 months RT LT L8130 No Yes 4 per 12 months RT LT L8140 No Yes 4 per 12 months RT LT L8150 No Yes 4 per 12 months RT LT L8160 No Yes 4 per 12 months RT LT L8170 No Yes 4 per 12 months RT LT L8180 No Yes 4 per 12 months RT LT L8190 No Yes 4 per 12 months RT LT L8195 No Yes 4 per 12 months RT LT L8200 No Yes 4 per 12 months RT LT L8210 No Yes 4 per 12 months -- L8220 No Yes 4 per 12 months -- L8230 No Yes 1 per 12 months -- L8300 No Sometimes 2 per 12 months -- L8310 No Sometimes 2 per 12 months RT LT L8320 No Sometimes 2 per 12 months RT LT L8330 No Sometimes 2 per 12 months RT LT L8400 No Sometimes 12 per 12 months RT LT L8410 No Sometimes 12 per 12 months RT LT L8415 No Sometimes 12 per 12 months RT LT L8417 No Sometimes 12 per 12 months RT LT L8420 No Sometimes 12 per 12 months RT LT L8430 No Sometimes 12 per 12 months RT LT L8435 No Sometimes 12 per 12 months RT LT L8440 No Sometimes 12 per 12 months RT LT L8460 No Sometimes 12 per 12 months RT LT L8465 No Sometimes 12 per 12 months RT LT L8470 No Sometimes 12 per 12 months RT LT L8480 No Sometimes 12 per 12 months RT LT L8485 No Sometimes 12 per 12 months RT LT L8490 No Sometimes 2 per 12 months RT LT L8499 No Sometimes 12 per 12 months RT LT T2003 No Sometimes -- RT LT