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Date (month, day, year) ( REQUEST HCPC CODE ) MAXIMUM RATE DESCRIPTION LOWER LIMB-HIP / KNEE (1 per year per limb) Quantity L1680 Dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type) L1850 KO Swedish type L1855 Molded plastic, thigh and calf sections, with double upright knee joints, molded to patient model L1880 Double upright, non-molded thigh and calf cuffs / lacers with knee joints L1885 Single or double upright, thigh and calf, with functio.

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