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L5280 |
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Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
| short | Hemipelvect canad sing axis |
| 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 | Code Descriptor / CPT Instruction | | DME | 2.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
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