CRYO-CUFF AND REQUIRED SUPPLIES

GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES NOTE 14 - COVERAGE OF THIS BENEFIT MAY ONLY BE CONSIDERED FOR INDIVIDUALS WHO ARE UNDERGOING (OR HAVE UNDERGONE) TOTAL KNEE ARTHROPLASTY (TOTAL KNEE REPLACEMENT) SURGERY.