Pennsylvania Trauma Systems Foundation
Orthotic Appliances, All Ages (Section 242.180) National Procedure Code M1 M2 Description All U21 21+ PA 21+ Payment Method A5500 NU For diabetics only, fitting (including follow-up) custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 21+ N Purchase A5501 NU For diabetics ... ................
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