|
L3170 |
 |
Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each
| short | Foot plas heel stabi pre ots |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 2.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | | DME | 2.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
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