Replace quadrilateral socket brim, custom fitted
Short Description: Replace socket brim cust fit
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1985
Effective Date: January 1, 1996
Termination Date:
Short Description: Replace socket brim cust fit
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1985
Effective Date: January 1, 1996
Termination Date: