Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf
Short Description: Ko single upright pre ots
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: October 1, 2014
Effective Date: January 1, 2017
Termination Date: December 31, 2016