PHC TAR Requirements
Orthotics – Cumulative costs for repair/maintenance or purchase exceeds $250 / item (see policy MCUG3032 Orthotic and Prosthetic Appliances Guidelines) ... CPT CODE. DESCRIPTION. 27096. Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid. 22511, 22515. Percutaneous vertebroplasty and percutaneous vertebral ... ................
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