L3960 Durable Medical Equipment Prosthetic Devices SEWHO AIRPLAN DESIG ABDU POS SEWHO AIRPLAN DESIG ABDU POS
L3980 Durable Medical Equipment Prosthetic Devices UP EXT FX ORTHOS HUMERAL NOS UP EXT FX ORTHOS HUMERAL NOS
L3982 Durable Medical Equipment Prosthetic Devices UPPER EXT FX ORTHOSIS RAD/UL UPPER EXT FX ORTHOSIS RAD/UL
L3984 Durable Medical Equipment Prosthetic Devices UPPER EXT FX ORTHOSIS WRIST UPPER EXT FX ORTHOSIS WRIST
L3995 Durable Medical Equipment Prosthetic Devices SOCK FRACTURE OR EQUAL EACH SOCK FRACTURE OR EQUAL EACH
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