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Medical Coverage Policy - AAOS

Orthotics Medical Coverage Policy Effective Date: 01/01/2012 Revision Date: 01/01/2012 Review Date: 04/28/2011 Policy Number: CLPD-0330-013 Page: 1 of 56 Change Summary: Updated Provider Claims Codes When printed, the version of this document becomes uncontrolled because Humana's documents are updated regularly. Do not rely on printed copies for the most up-to-date version. Refer to to verify this is the current version before each use. Disclaimer Description Coverage Determination Background Medical Alternatives Provider Claims Codes Medical Terms References Disclaimer State and federal law, as well as contract language, including definitions and specific inclusions/ exclusions, take precedence over clinical Policy and must be considered first in determining eligibility for Coverage . Coverage may also differ for our Medicare and/or Medicaid members based on any applicable Centers for Medicare & Medicaid Services (CMS) Coverage statements including National Coverage Determinations (NCD), Local Medical Review Policies (LMRP), and/or Local Coverage Determinations.

Orthotics Medical Coverage Policy Effective Date: 01/01/2012 Revision Date: 01/01/2012 Review Date: 04/28/2011 of Policy Number: CLPD-0330-013 Page: 1 56 Change Summary: Updated Provider Claims Codes

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