L0482

Tlso, triplanar control, one piece rigid plastic shell with interface liner, multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, anterior or posterior opening, restricts g

Short Description: Tlso rigid lined custom fab

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2003

Effective Date: January 1, 2003

Termination Date:

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