L4002 Durable Medical Equipment Prosthetic Devices REPLACE STRAP, ANY ORTHOSIS REPLACE STRAP, ANY ORTHOSIS
L4205 Durable Medical Equipment Prosthetic Devices ORTHO DVC REPAIR PER 15 MIN ORTHO DVC REPAIR PER 15 MIN
L4210 Durable Medical Equipment Prosthetic Devices ORTH DEV REPAIR/REPL MINOR P ORTH DEV REPAIR/REPL MINOR P
L4350 Durable Medical Equipment Prosthetic Devices ANKLE CONTROL ORTHO PRE OTS ANKLE CONTROL ORTHO PRE OTS
L4360 Durable Medical Equipment Prosthetic Devices PNEUMAT WALKING BOOT PRE CST PNEUMAT WALKING BOOT PRE CST
L4386 Durable Medical Equipment Prosthetic Devices NON-PNEUM WALK BOOT PRE CST NON-PNEUM WALK BOOT PRE CST
L4387 Durable Medical Equipment Prosthetic Devices NON-PNEUM WALK BOOT PRE OTS NON-PNEUM WALK BOOT PRE OTS
L4396 Durable Medical Equipment Prosthetic Devices Home Health Care STATIC OR DYNAMI AFO PRE CST STATIC OR DYNAMI AFO PRE CST
L5301 Durable Medical Equipment Prosthetic Devices BK MOLD SOCKET SACH FT ENDO BK MOLD SOCKET SACH FT ENDO