Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism
Short Description: Socket insert w/o 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: