L3677 So hard plas stabili pre cst
ANEST_BU
0
BETOS
Z2
Long Description
Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
Category
COV
D
HCPCS
L3677
MCM1
2130.00
MULT_PI
9
PRICE1
0.00
RECID
3
SEQNUM
0010
SHORT DESCRIPTION
So hard plas stabili pre cst
TOS1
P