HCPCS Level IIprostheticsActive
L4055
Replace non-molded calf lace
BETOS: D1F
Effective: 2005-01-01
Referenced in 2 policies
Description
Replace non-molded calf lacer, for custom fabricated orthosis only
Coverage Policies
This code is referenced in 2 Medicare coverage policies
Sample Policies
ANTHEM-CG-DME-22PayerPolicycovered