Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, bowden cable control, usmc or equal pylon, no cover, molded to patient model
Short Description: Wrist/elbow bowden cable mol
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1988
Effective Date: January 1, 1996
Termination Date: