L8600 |
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Implantable breast prosthesis, silicone or equal
short | Implant breast silicone/eq |
MUE | Location | Value | Ajudication Indicator | Rationale |
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PRA | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
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