L0970 |
 |
Tlso, corset front
short | Tlso corset front |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | DME | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
|
|
L0972 |
 |
Lso, corset front
short | Lso corset front |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | DME | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
|
|
L0974 |
 |
Tlso, full corset
short | Tlso full corset |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | DME | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
|
|
L0976 |
 |
Lso, full corset
short | Lso full corset |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | DME | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
|
|
|
L0978 |
 |
Axillary crutch extension
short | Axillary crutch extension |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration | DME | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
L0980 |
 |
Peroneal straps, prefabricated, off-the-shelf, pair
short | Peroneal straps pair pre ots |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction | DME | 1.0 | 2 Date of Service Edit: Policy | Code Descriptor / CPT Instruction |
|
|
|
L0982 |
 |
Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)
short | Stocking sup grips 4 pre ots |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
L0984 |
 |
Protective body sock, prefabricated, off-the-shelf, each
short | Protect body sock ea pre ots |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 3.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | DME | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy |
|
|
|
L0999 |
 |
Addition to spinal orthosis, not otherwise specified
short | Add to spinal orthosis nos |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | OPH | 1.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|