flexion contracture anklequirky non specific units of measurement

[2] Risk factors include overuse, such as from long periods of standing, an increase in exercise, and obesity. [7], Plantar fasciotomy is a surgical treatment and the last resort for refractory plantar fasciitis pain. In most cases Physiopedia articles are a secondary source and so should not be used as references. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. MACs are Medicare contractors that develop LCDs and process Medicare claims. (+10mm- 5%/ +50mm - 25,1%). A single exposure of the standing subject, imaging the entire lower extremity. This association between weight and plantar fasciitis is not present in the athletic population. The importance of exercises lies in the fact that (one study suggests that:) the quadratus lumborus endurance ipsilateral to the supine short leg has significantly decreased endurance compared to people with no leg-length asymmetry. Instructions for enabling "JavaScript" can be found here. [3], If the plantar fascia is overused in the setting of plantar fasciitis, the plantar fascia can rupture. Gross Motor Function Classification System (GMFCS), http://www.youtube.com/watch?v=aqifMmasQiM, walking with bend knees,Available from:https://www.youtube.com/watch?v=4rD8MN2fB9o, http://www.youtube.com/watch?v=bhRTEJObwxc, http://www.youtube.com/watch?v=Ui7XKzbXgr8, http://www.youtube.com/watch?v=b_j327371fM, https://www.physio-pedia.com/index.php?title=Flexion_Deformity_of_the_Knee&oldid=309640, Flexed position of the knee at the initiation of the stance phase and throughout the, The body is propelled forward with increased flexion at hip in swing phase, Other symptoms of flexion contractures are, Changes which appear later are severe contracture of knee and hip and, Co-activation of Hamstrings and Quadriceps. 47-57). CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. As with all rehabilitation programs, gait training with a person following a stroke is highly individualized. [3][8] In the United States alone, more than two million people receive treatment for plantar fasciitis. That is usually the journal article where the information was first stated. [33], Plantar fasciitis is the most common type of plantar fascia injury[10] and is the most common reason for heel pain, responsible for 80% of cases. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). [26] Complications from ESWT are rare and typically benign when present. Arthrofibrosis (from Greek: arthro-joint, fibrosis scar tissue formation) has been described in most joints like knee, hip, ankle, foot joints, shoulder (frozen shoulder, adhesive capsulitis), elbow (stiff elbow), wrist, hand joints as well as spinal vertebrae. The intensity of contraction can be controlled by adjusting the amount of stimulus given by the FES machine. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of CMS internally within your organization within the United States for the sole use by yourself, employees and agents. :Gait Disturbances in Patients With Stroke: PM&R , Volume 6 , Issue 7 , 635 - 642. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. The condition necessitating the orthosis is expected to be permanent or of longstanding duration (more than 6 months); or. The ulna bone may also be broken.. Epub 2008 Jun 26. Applicable FARS/HHSARS apply. Under these circumstances, diagnostic tests such as a CBC or serological markers of inflammation, infection, or autoimmune disease such as C-reactive protein, erythrocyte sedimentation rate, anti-nuclear antibodies, rheumatoid factor, HLA-B27, uric acid, or Lyme disease antibodies may also be obtained. Please visit the. A towel roll should be placed at the ankle to promote knee extension when patients are supine in bed. This documentation must be available upon request.GENERAL DOCUMENTATION REQUIREMENTSIn order to justify payment for DMEPOS items, suppliers must meet the following requirements: Medical Record Information (including continued need/use if applicable), Refer to the LCD-related Standard Documentation Requirements article, located at the bottom of this policy under the Related Local Coverage Documents section for additional information regarding these requirements.Refer to the Supplier Manual for additional information on documentation requirements.Refer to the DME MAC web sites for additional bulletin articles and other publications related to this LCD.POLICY SPECIFIC DOCUMENTATION REQUIREMENTSItems covered in this LCD have additional policy-specific requirements that must be met prior to Medicare reimbursement. There are few contraindications for surgical correction of FKFD (Flexed Knee Flexion Deformity). InKnee Arthroplasty 2022 (pp. [12][13] Microscopic examination of the plantar fascia often shows myxomatous degeneration, connective tissue calcium deposits, and disorganized collagen fibers. Arthrogryposis, also called arthrogryposis multiplex congenita (AMC), is a term used to describe a variety of conditions involving multiple joint contractures (or stiffness). Further research will conclude if LLD is merely associated or an objective causal factor in low back pain (LBP), The literature at hand is contradicting and non-conclusive. Patients Follow 3 Different Rate-of-Recovery Patterns After Anterior Cruciate Ligament Reconstruction Based on International Knee Documentation Committee Score The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. The document is broken into multiple sections. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Patients Undergoing Primary Hip Arthroscopy Report Favorable Outcomes at Minimum 10 Year Follow-up: A Systematic Review, Combined Borderline Acetabular Dysplasia and Increased Femoral Anteversion is Associated with Worse Outcomes in Female Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement, The Pediatric Spine: Principles and Practice, Paper #159 Overuse soft tissue injuries as related to the body mass index (BMI) of infantry recruits. Medicare program. THE UNITED STATES GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN [7], The plantar fascia has three fascicles-the central fascicle being the thickest at 4mm, the lateral fascicle at 2mm, and the medial less than a millimeter thick. Effective July 1, 2016 oversight for DME MAC LCDs is the responsibility of CGS Administrators, LLC 18003 and 17013 and Noridian Healthcare Solutions, LLC 19003 and 16013. Pain is also frequently brought on by bending the foot and toes up towards the shin. Also, younger persons, on the whole, are able to adapt to larger LLD than older persons (considering that it has been shown that gait patterns differ considerably between old and young individuals and that older persons have greater difficulty in mastering novel motor tasks this makes sense). Other diagnoses that are typically considered include fractures, tumors, or systemic disease if plantar fasciitis pain fails to respond appropriately to conservative medical treatments. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be copied without the express written consent of the AHA. [5] A 2012 study found 76% of people who underwent endoscopic plantar fasciotomy had complete relief of their symptoms and had few complications (level IV evidence). For Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) base items that require a Written Order Prior to Delivery (WOPD), the supplier must have received a signed SWO before the DMEPOS item is delivered to a beneficiary. Extension and flexion are commonly seen at hinge joins. 2016. [4] Prevalence rates for leg length difference often lack crucial information regarding demographics, examiner experience, methods to recruit patients, methods used to detect leg inequality, and yet it is often cited and used by other authors. The pain may be relieved by forward flexion of the lumbar spine or by sitting. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Fixed flexion deformity and total knee arthroplasty. 2001;23(6):254262. These shoe lifts consist of either a shoe insert (up to 10-20mm of correction) or building up the sole of the shoe on the shorter leg (up to 30-60mm of correction). H Hayes Hospital Physical Therapy Restores Walking After Stroke Available from: Janet H Carr EdD FACP , Roberta B Shepherd EdD FACP; Stroke Rehabilitation- Guidelil1es for Exercise and Training to Optimize Motor Skill; First edition; 2003, Hemiplegic Gait Case Study 13 Available from: https://www.youtube.com/watch?v=ihz74Zv6D84last accessed 23.10.2021). Stress Fractures Greater incidence of stress fractures in the tibia, metatarsals, and femur of the longer leg appears consistent with the greater forces emitted trough the longer leg described under hip pain. Sign up to get the latest information about your choice of CMS topics in your inbox. It involves cortical osteotomy followed by the extremity being fitted with an external fixation device that applies continuous longitudinal distraction across the osteotomy site. The treatments surgically induced slowing of growth by blockade of the epiphyseal plates around the knee joint, or leg lengthening with osteotomy and subsequent distraction of the bone callus with fully implanted or external apparatus.[6]. In most cases Physiopedia articles are a secondary source and so should not be used as references. Patients with flexion contractures often walk with a bent-knee gait. Flexors like the bicep contract and shorten to bring the lower arm up towards the upper arm. [12] Typically there are no fevers or night sweats. Body weight can be slowly added back to the person's control as they progress through their BWSTT program. FES is used to elicit action potentials in the peripheral nerves of axonal branches and generate muscle contractions via surface electrodes placed over a muscle group. [2][5] Approximately 10% of people have the disorder at some point during their life. A thickness of more than 4.5mm ultrasound and 4mm on MRI are useful for diagnosis. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not This pulls the fingers inward, towards the palm, in what is known as a "Dupuytren's contracture." A flexion contracture is a bent (flexed) joint that cannot be straightened actively or passively. [4], Other conservative approaches include rest, massage, heat, ice, and calf-strengthening exercises, weight reduction in the overweight or obese, and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen. Hepburn G, Crivelli K Use of Elbow Dynasplint for Reduction of Elbow Flexion Contractures: A Case Study The Journal of Orthopedic and Sports Physical Therapy. [9] It becomes more common with age. Reproduced by CMS with permission. [4][11] The foot may have limited dorsiflexion due to excessive tightness of the calf muscles or the Achilles tendon. Pott's fracture, also known as Pott's syndrome I and Dupuytren fracture, is an archaic term loosely applied to a variety of bimalleolar ankle fractures. Robotic-assisted training reduces theamount of physical assistance required to walk reducinghealth care costs, provides kinematic andkinetic data to control and quantify the intensityof practice, and measures changes and assess motorimpairments with better sensitivity and reliability thanstandard clinical scales[13]. A flexion deformity of the knee is the inability to fully straighten or extend the knee, also known as flexion contracture. Biofeedback techniques have shown benefit when used as part of a physical therapy program for people with motor weakness or dysfunction after stroke. Shoe inserts appear to reduce (chronic) low back pain and functional disability in patients with LLDs of 10mm or less. It is convenient, cost-effective, and is a good alternative to radiographic measurement! https://www.podiatrytoday.com/keys-recognizing-and-treating-limb-length-discrepancy, https://www.livta.com.br/material/leg-length-discrepancy.pdf, Anatomic and functional leg-length inequality: a review and recommendation for clinical decision-making. A partial dislocation is referred to as a subluxation.Dislocations are often caused by sudden trauma on the joint like an impact or fall. In older people, the most common cause is falling on an outstretched hand. Contraindications for osteotomy include the following: Contraindications for guided growth include the following: Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. The scope of this license is determined by the AMA, the copyright holder. An asterisk (*) indicates a required field. [8] ESWT is performed with or without anesthesia though studies suggest giving anesthesia diminishes the procedure's effectiveness. However, evidence in the literature regarding the use of lift therapy is inconsistent. Refer to the DME MAC web sites for additional bulletin articles and other publications related to this LCD. Rehabilitation of gait after stroke: a review towards a top-down approach, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3261106/. [10] Other treatment methods include orthoses, casting and bracing. Keys to recognizing and treating limb length discrepancy. Sometimes, in patients with skeletal maturity, limb shortening by bone resection procedures is sometimes performed. It can occur after injury or surgery or may arise without an obvious cause. The CMS.gov Web site currently does not fully support browsers with product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 2020 Jun; 117(24): 405411.Published online 2020 Jun 12.doi:10.3238/arztebl.2020.0405 Leg Length Discrepancy- Treatment Indications and Strategies. It is impossible to detect these faulty mechanics using a non-functional evaluation, such as radiography. Refer to the Supplier Manual for additional information on documentation requirements. Applications are available at the AMA Web site, http://www.ama-assn.org/cpt. Arthroscopy 2022;38: 17271748 [23][24], If plantar fasciitis fails to respond to conservative treatment for at least three months, then extracorporeal shockwave therapy (ESWT) may be considered. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. Sancheti P, Gugale S, Shyam A. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with [2] Since inflammation plays either a lesser or no role, a review proposed it be renamed plantar fasciosis. Refer to the LCD-related Policy article, located at the bottom of this policy under the Related Local Coverage Documents section for additional information.MiscellaneousAppendicesUtilization GuidelinesRefer to Coverage Indications, Limitations and/or Medical Necessity. The ability to walk independently is a prerequisite for most daily activities, whether a person is homebound or a community distance ambulator. THE INFORMATION, PRODUCT, OR PROCESSES DISCLOSED HEREIN. Plantar flexion contracture of the ankle (refer to the Group 1 Codes in the ICD-10 code list in the LCD-related Policy Article for applicable diagnoses) with dorsiflexion on passive range of motion testing of at least 10 degrees (i.e., a nonfixed contracture); and, Reasonable expectation of the ability to correct the contracture; and, There are specific situations in which the best option is gradual distraction and extension employing an external fixator (Illizarov). Decreased stance time and stride length in the shorter leg. The brachial artery is a continuation of the axillary artery past the lower border of the teres major. A52457 - Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article, A55426 - Standard Documentation Requirements for All Claims Submitted to DME MACs, BELT, STRAP, SLEEVE, GARMENT, OR COVERING, ANY TYPE, FOOT PRESSURE OFF LOADING/SUPPORTIVE DEVICE, ANY TYPE, EACH, ANKLE FOOT ORTHOSIS, SPRING WIRE, DORSIFLEXION ASSIST CALF BAND, CUSTOM FABRICATED, ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, PREFABRICATED, OFF-THE-SHELF, ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, MULTILIGAMENTOUS ANKLE SUPPORT, PREFABRICATED, OFF-THE-SHELF, ANKLE ORTHOSIS, SUPRAMALLEOLAR WITH STRAPS, WITH OR WITHOUT INTERFACE/PADS, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, POSTERIOR, SINGLE BAR, CLASP ATTACHMENT TO SHOE COUNTER, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, ANKLE FOOT ORTHOSIS, SINGLE UPRIGHT WITH STATIC OR ADJUSTABLE STOP (PHELPS OR PERLSTEIN TYPE), CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, AFO, RIGID ANTERIOR TIBIAL SECTION, TOTAL CARBON FIBER OR EQUAL MATERIAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, PLASTIC, RIGID ANTERIOR TIBIAL SECTION (FLOOR REACTION), CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, SPIRAL, (INSTITUTE OF REHABILITATIVE MEDICINE TYPE), PLASTIC, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, SPIRAL, (INSTITUTE OF REHABILITATIVE MEDICINE TYPE), PLASTIC OR OTHER MATERIAL, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, ANKLE FOOT ORTHOSIS, POSTERIOR SOLID ANKLE, PLASTIC, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, PLASTIC WITH ANKLE JOINT, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, PLASTIC OR OTHER MATERIAL WITH ANKLE JOINT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, ANKLE FOOT ORTHOSIS, SINGLE UPRIGHT FREE PLANTAR DORSIFLEXION, SOLID STIRRUP, CALF BAND/CUFF (SINGLE BAR 'BK' ORTHOSIS), CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, DOUBLE UPRIGHT FREE PLANTAR DORSIFLEXION, SOLID STIRRUP, CALF BAND/CUFF (DOUBLE BAR 'BK' ORTHOSIS), CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, SINGLE UPRIGHT, FREE KNEE, FREE ANKLE, SOLID STIRRUP, THIGH AND CALF BANDS/CUFFS (SINGLE BAR 'AK' ORTHOSIS), CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, ANY MATERIAL, SINGLE OR DOUBLE UPRIGHT, STANCE CONTROL, AUTOMATIC LOCK AND SWING PHASE RELEASE, ANY TYPE ACTIVATION, INCLUDES ANKLE JOINT, ANY TYPE, CUSTOM FABRICATED, KNEE ANKLE FOOT DEVICE, ANY MATERIAL, SINGLE OR DOUBLE UPRIGHT, SWING AND STANCE PHASE MICROPROCESSOR CONTROL WITH ADJUSTABILITY, INCLUDES ALL COMPONENTS (E.G., SENSORS, BATTERIES, CHARGER), ANY TYPE ACTIVATION, WITH OR WITHOUT ANKLE JOINT(S), CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, SINGLE UPRIGHT, FREE ANKLE, SOLID STIRRUP, THIGH AND CALF BANDS/CUFFS (SINGLE BAR 'AK' ORTHOSIS), WITHOUT KNEE JOINT, CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, DOUBLE UPRIGHT, FREE ANKLE, SOLID STIRRUP, THIGH AND CALF BANDS/CUFFS (DOUBLE BAR 'AK' ORTHOSIS), CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, DOUBLE UPRIGHT, FREE ANKLE, SOLID STIRRUP, THIGH AND CALF BANDS/CUFFS, (DOUBLE BAR 'AK' ORTHOSIS), WITHOUT KNEE JOINT, CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, FULL PLASTIC, SINGLE UPRIGHT, WITH OR WITHOUT FREE MOTION KNEE, MEDIAL LATERAL ROTATION CONTROL, WITH OR WITHOUT FREE MOTION ANKLE, CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, FULL PLASTIC, STATIC (PEDIATRIC SIZE), WITHOUT FREE MOTION ANKLE, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, KNEE ANKLE FOOT ORTHOSIS, FULL PLASTIC, DOUBLE UPRIGHT, WITH OR WITHOUT FREE MOTION KNEE, WITH OR WITHOUT FREE MOTION ANKLE, CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, FULL PLASTIC, SINGLE UPRIGHT, WITH OR WITHOUT FREE MOTION KNEE, WITH OR WITHOUT FREE MOTION ANKLE, CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, FULL PLASTIC, WITH OR WITHOUT FREE MOTION KNEE, MULTI-AXIS ANKLE, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, FRACTURE ORTHOSIS, TIBIAL FRACTURE CAST ORTHOSIS, THERMOPLASTIC TYPE CASTING MATERIAL, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, FRACTURE ORTHOSIS, TIBIAL FRACTURE CAST ORTHOSIS, CUSTOM FABRICATED, ANKLE FOOT ORTHOSIS, FRACTURE ORTHOSIS, TIBIAL FRACTURE ORTHOSIS, SOFT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, ANKLE FOOT ORTHOSIS, FRACTURE ORTHOSIS, TIBIAL FRACTURE ORTHOSIS, SEMI-RIGID, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, ANKLE FOOT ORTHOSIS, FRACTURE ORTHOSIS, TIBIAL FRACTURE ORTHOSIS, RIGID, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, KNEE ANKLE FOOT ORTHOSIS, FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, THERMOPLASTIC TYPE CASTING MATERIAL, CUSTOM FABRICATED, KNEE ANKLE FOOT ORTHOSIS, FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, CUSTOM FABRICATED, KAFO, FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, SOFT, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, KAFO, FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, SEMI-RIGID, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, KAFO, FRACTURE ORTHOSIS, FEMORAL FRACTURE CAST ORTHOSIS, RIGID, PREFABRICATED, INCLUDES FITTING AND ADJUSTMENT, ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, PLASTIC SHOE INSERT WITH ANKLE JOINTS, ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, DROP LOCK KNEE JOINT, ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, LIMITED MOTION KNEE JOINT, ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, ADJUSTABLE MOTION KNEE JOINT, LERMAN TYPE, ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, QUADRILATERAL BRIM, ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, WAIST BELT, ADDITION TO LOWER EXTREMITY FRACTURE ORTHOSIS, HIP JOINT, PELVIC BAND, THIGH FLANGE, AND PELVIC BELT, ADDITION TO LOWER EXTREMITY, LIMITED ANKLE MOTION, EACH JOINT, ADDITION TO LOWER EXTREMITY, DORSIFLEXION ASSIST (PLANTAR FLEXION RESIST), EACH JOINT, ADDITION TO LOWER EXTREMITY, DORSIFLEXION AND PLANTAR FLEXION ASSIST/RESIST, EACH JOINT, ADDITION TO LOWER EXTREMITY, SPLIT FLAT CALIPER STIRRUPS AND PLATE ATTACHMENT, ADDITION TO LOWER EXTREMITY ORTHOSIS, ROCKER BOTTOM FOR TOTAL CONTACT ANKLE FOOT ORTHOSIS, FOR CUSTOM FABRICATED ORTHOSIS ONLY, ADDITION TO LOWER EXTREMITY, ROUND CALIPER AND PLATE ATTACHMENT, ADDITION TO LOWER EXTREMITY, FOOT PLATE, MOLDED TO PATIENT MODEL, STIRRUP ATTACHMENT, ADDITION TO LOWER EXTREMITY, REINFORCED SOLID STIRRUP (SCOTT-CRAIG TYPE), ADDITION TO LOWER EXTREMITY, LONG TONGUE STIRRUP, ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION ('T') STRAP, PADDED/LINED OR MALLEOLUS PAD, ADDITION TO LOWER EXTREMITY, VARUS/VALGUS CORRECTION, PLASTIC MODIFICATION, PADDED/LINED, ADDITION TO LOWER EXTREMITY, MOLDED INNER BOOT, ADDITION TO LOWER EXTREMITY, ABDUCTION BAR (BILATERAL HIP INVOLVEMENT), JOINTED, ADJUSTABLE, ADDITION TO LOWER EXTREMITY, ABDUCTION BAR-STRAIGHT, ADDITION TO LOWER EXTREMITY, NON-MOLDED LACER, FOR CUSTOM FABRICATED ORTHOSIS ONLY, ADDITION TO LOWER EXTREMITY, LACER MOLDED TO PATIENT MODEL, FOR CUSTOM FABRICATED ORTHOSIS ONLY, ADDITION TO LOWER EXTREMITY, ANTERIOR SWING BAND, ADDITION TO LOWER EXTREMITY, PRE-TIBIAL SHELL, MOLDED TO PATIENT MODEL, ADDITION TO LOWER EXTREMITY, PROSTHETIC TYPE, (BK) SOCKET, MOLDED TO PATIENT MODEL, (USED FOR 'PTB' 'AFO' ORTHOSES), ADDITION TO LOWER EXTREMITY, EXTENDED STEEL SHANK, ADDITION TO LOWER EXTREMITY, PATTEN BOTTOM, ADDITION TO LOWER EXTREMITY, TORSION CONTROL, ANKLE JOINT AND HALF SOLID STIRRUP, ADDITION TO LOWER EXTREMITY, TORSION CONTROL, STRAIGHT KNEE JOINT, EACH JOINT, ADDITION TO LOWER EXTREMITY, STRAIGHT KNEE JOINT, HEAVY DUTY, EACH JOINT, ADDITION TO LOWER EXTREMITY, POLYCENTRIC KNEE JOINT, FOR CUSTOM FABRICATED KNEE ANKLE FOOT ORTHOSIS, EACH JOINT, ADDITION TO LOWER EXTREMITY, OFFSET KNEE JOINT, EACH JOINT, ADDITION TO LOWER EXTREMITY, OFFSET KNEE JOINT, HEAVY DUTY, EACH JOINT, ADDITION TO LOWER EXTREMITY ORTHOSIS, SUSPENSION SLEEVE, ADDITION TO KNEE LOCK WITH INTEGRATED RELEASE MECHANISM (BAIL, CABLE, OR EQUAL), ANY MATERIAL, EACH JOINT, ADDITION TO KNEE JOINT, DISC OR DIAL LOCK FOR ADJUSTABLE KNEE FLEXION, EACH JOINT, ADDITION TO KNEE JOINT, RATCHET LOCK FOR ACTIVE AND PROGRESSIVE KNEE EXTENSION, EACH JOINT, ADDITION TO KNEE JOINT, LIFT LOOP FOR DROP LOCK RING, ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, GLUTEAL/ ISCHIAL WEIGHT BEARING, RING, ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, QUADRI- LATERAL BRIM, MOLDED TO PATIENT MODEL, ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, QUADRI- LATERAL BRIM, CUSTOM FITTED, ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, ISCHIAL CONTAINMENT/NARROW M-L BRIM MOLDED TO PATIENT MODEL, ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, ISCHIAL CONTAINMENT/NARROW M-L BRIM, CUSTOM FITTED, ADDITION TO LOWER EXTREMITY, THIGH-WEIGHT BEARING, LACER, NON-MOLDED, ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, LACER, MOLDED TO PATIENT MODEL, ADDITION TO LOWER EXTREMITY, THIGH/WEIGHT BEARING, HIGH ROLL CUFF, ADDITION TO LOWER EXTREMITY ORTHOSIS, PLATING CHROME OR NICKEL, PER BAR, ADDITION TO LOWER EXTREMITY ORTHOSIS, HIGH STRENGTH, LIGHTWEIGHT MATERIAL, ALL HYBRID LAMINATION/PREPREG COMPOSITE, PER SEGMENT, FOR CUSTOM FABRICATED ORTHOSIS ONLY, ADDITION TO LOWER EXTREMITY ORTHOSIS, EXTENSION, PER EXTENSION, PER BAR (FOR LINEAL ADJUSTMENT FOR GROWTH), ORTHOTIC SIDE BAR DISCONNECT DEVICE, PER BAR, ADDITION TO LOWER EXTREMITY ORTHOSIS, NON-CORROSIVE FINISH, PER BAR, ADDITION TO LOWER EXTREMITY ORTHOSIS, DROP LOCK RETAINER, EACH, ADDITION TO LOWER EXTREMITY ORTHOSIS, KNEE CONTROL, FULL KNEECAP, ADDITION TO LOWER EXTREMITY ORTHOSIS, KNEE CONTROL, KNEE CAP, MEDIAL OR LATERAL PULL, FOR USE WITH CUSTOM FABRICATED ORTHOSIS ONLY, ADDITION TO LOWER EXTREMITY ORTHOSIS, KNEE CONTROL, CONDYLAR PAD, ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, BELOW KNEE SECTION, ADDITION TO LOWER EXTREMITY ORTHOSIS, SOFT INTERFACE FOR MOLDED PLASTIC, ABOVE KNEE SECTION, ADDITION TO LOWER EXTREMITY ORTHOSIS, TIBIAL LENGTH SOCK, FRACTURE OR EQUAL, EACH, ADDITION TO LOWER EXTREMITY ORTHOSIS, FEMORAL LENGTH SOCK, FRACTURE OR EQUAL, EACH, LOWER EXTREMITY ORTHOSES, NOT OTHERWISE SPECIFIED, REPLACEMENT STRAP, ANY ORTHOSIS, INCLUDES ALL COMPONENTS, ANY LENGTH, ANY TYPE, REPLACE QUADRILATERAL SOCKET BRIM, MOLDED TO PATIENT MODEL, REPLACE QUADRILATERAL SOCKET BRIM, CUSTOM FITTED, REPLACE MOLDED THIGH LACER, FOR CUSTOM FABRICATED ORTHOSIS ONLY, REPLACE NON-MOLDED THIGH LACER, FOR CUSTOM FABRICATED ORTHOSIS ONLY, REPLACE MOLDED CALF LACER, FOR CUSTOM FABRICATED ORTHOSIS ONLY, REPLACE NON-MOLDED CALF LACER, FOR CUSTOM FABRICATED ORTHOSIS ONLY, REPLACE PROXIMAL AND DISTAL UPRIGHT FOR KAFO, REPLACE METAL BANDS KAFO-AFO, CALF OR DISTAL THIGH, REPLACE LEATHER CUFF KAFO, PROXIMAL THIGH, REPLACE LEATHER CUFF KAFO-AFO, CALF OR DISTAL THIGH, REPAIR OF ORTHOTIC DEVICE, LABOR COMPONENT, PER 15 MINUTES, REPAIR OF ORTHOTIC DEVICE, REPAIR OR REPLACE MINOR PARTS, ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INTERFACE (E.G., PNEUMATIC, GEL), PREFABRICATED, OFF-THE-SHELF, WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE, WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELF, PNEUMATIC FULL LEG SPLINT, PREFABRICATED, OFF-THE-SHELF, WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE, WALKING BOOT, NON-PNEUMATIC, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELF, REPLACEMENT, SOFT INTERFACE MATERIAL, STATIC AFO, REPLACE SOFT INTERFACE MATERIAL, FOOT DROP SPLINT, STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE, STATIC OR DYNAMIC ANKLE FOOT ORTHOSIS, INCLUDING SOFT INTERFACE MATERIAL, ADJUSTABLE FOR FIT, FOR POSITIONING, MAY BE USED FOR MINIMAL AMBULATION, PREFABRICATED, OFF-THE-SHELF, FOOT DROP SPLINT, RECUMBENT POSITIONING DEVICE, PREFABRICATED, OFF-THE-SHELF, ANKLE FOOT ORTHOSIS, WALKING BOOT TYPE, VARUS/VALGUS CORRECTION, ROCKER BOTTOM, ANTERIOR TIBIAL SHELL, SOFT INTERFACE, CUSTOM ARCH SUPPORT, PLASTIC OR OTHER MATERIAL, INCLUDES STRAPS AND CLOSURES, CUSTOM FABRICATED.

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