L5673

Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism

Short Description: Socket insert w lock mech

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2004

Effective Date: January 1, 2004

Termination Date:

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