L3975

Shoulder elbow wrist hand finger orthosis, shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment

Short Description: Sewhfo cap design w/o jnt cf

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2006

Effective Date: January 1, 2006

Termination Date:

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