Prosthetic eye, plastic, custom
Short Description: Plastic eye prosth custom
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 1985
Effective Date: October 1, 2003
Termination Date:
Short Description: Plastic eye prosth custom
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 1985
Effective Date: October 1, 2003
Termination Date: