Microprocessor-Controlled Prostheses for the Lower Limb. component, single or double upright(s), knee joints any type, with or without ankle joints any type, includes all components and

Blue Cross of Idaho · PayerPolicy · BCIDAHO-01-04-505

Summary of the payer’s published policy. Not a coverage determination — confirm with Blue Cross of Idaho before submitting.

Free account. Policy pages stay open to everyone.

Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Backwork has no codes on record for this policy. Check the source.