L3977

Shoulder elbow wrist hand finger orthosis, shoulder cap design, includes one or more nontorsion joints, elastic bands, turnbuckles, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Short Description: Sewhfo cap desgn w/jnt(s) cf

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2006

Effective Date: January 1, 2006

Termination Date:

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