Addition to ctlso or scoliosis orthosis, lumbar bolster pad
Short Description: Lumbar bolster pad
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date: January 1, 1996
Termination Date:
Short Description: Lumbar bolster pad
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date: January 1, 1996
Termination Date: