HCPCS Level IIprostheticsActive
L1852
Ko double upright prefab ots
BETOS: D1F
Effective: 2017-01-01
Referenced in 4 policies
Description
Knee orthosis (ko), double 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, off-the-shelf
Coverage Policies
This code is referenced in 4 Medicare coverage policies
Sample Policies
AETNA-CPB-0009PayerPolicy