Addition to lower extremity, pelvic control, band and belt, unilateral
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date: January 1, 1996
Termination Date:
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date: January 1, 1996
Termination Date: