L4055 (850)    PROSTHETIC HCPCS (661.1)

Name Value
HCPCS L4055
SHORT NAME REPLACE NON-MOLDED CALF LACE
CPT File: 81, IEN: 104840
ITEM
  • REPLACE NON-MOLDED CALF LA/COMMERCIAL
STATUS ACTIVE
NPPD REPAIR CODE R40
DESCRIPTION
  • REPLACE NON-MOLDED CALF LACER