L5270 |
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Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot
short | Tilt table locking hip sing |
MUE | Location | Value | Ajudication Indicator | Rationale |
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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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