HCPCS Level IIprostheticsActive
L1843
Ko single upright pre cst
BETOS: D1F
Effective: 2014-01-01
Referenced in 3 policies
Description
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Coverage Policies
This code is referenced in 3 Medicare coverage policies
Sample Policies
ANTHEM-GL-A047994PayerPolicy