L4631

Ankle foot orthosis, walking boot type, varus/valgus correction, rocker bottom, anterior tibial shell, soft interface, custom arch support, plastic or other material, includes straps and closures, custom fabricated

Short Description: Afo, walk boot type, cus fab

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2011

Effective Date: January 1, 2011

Termination Date:

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