L1845

Knee orthosis, 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 item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a sp

Short Description: Ko double upright pre cst

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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