Knee orthosis (ko), double 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 double upright prefab ots
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2017
Effective Date: January 1, 2017
Termination Date: