Addition to lower extremity, molded inner boot
Short Description: Molded inner boot
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date:
Termination Date:
Short Description: Molded inner boot
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date:
Termination Date: