G9304

Operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant and the size of each prosthetic implant

Short Description: Pros info op rpt

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2014

Effective Date: January 1, 2015

Termination Date:

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