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L0710 |
 |
Ctlso, anterior-posterior-lateral-control, molded to patient model, with interface material, (minerva type)
| short | Ctlso a-p-l control w/ inter |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 0.0 | 3 Date of Service Edit: Clinical | CMS Policy | | OPH | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration | | DME | 1.0 | 2 Date of Service Edit: Policy | Anatomic Consideration |
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