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L5782 |
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Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy duty
| short | Hd low limb pros vacuum pump |
| 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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