L5000 |
 |
Partial foot, shoe insert with longitudinal arch, toe filler
short | Sho insert w arch toe filler |
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 |
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L5010 |
 |
Partial foot, molded socket, ankle height, with toe filler
short | Mold socket ank hgt w/ toe f |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
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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|
|
L5020 |
 |
Partial foot, molded socket, tibial tubercle height, with toe filler
short | Tibial tubercle hgt w/ toe f |
MUE | Location | Value | Ajudication Indicator | Rationale |
---|
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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