Preparatory, above knee- knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, plaster socket, molded to model
Short Description: Prep ak ischial plast molded
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date: January 1, 1996
Termination Date: