L1990

Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar ‘bk’ orthosis), custom fabricated

Short Description: Afo doub solid stirrup calf

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 1982

Effective Date: January 1, 2001

Termination Date:

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