Custom manual wheelchair/base
Short Description: Cstm manual wheelchair/base
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: July 1, 2013
Effective Date: July 1, 2013
Termination Date:
Short Description: Cstm manual wheelchair/base
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: July 1, 2013
Effective Date: July 1, 2013
Termination Date: