L0174

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf

Short Description: Cerv sr 2pc thor ext pre ots

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 1988

Effective Date: January 1, 2014

Termination Date:

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