CRYO-CUFF AND REQUIRED SUPPLIES

CRYO-CUFF AND REQUIRED SUPPLIES

Benefit Code Number
362001
Program of Choice
07 - Medical supplies
Province
Alberta
Prescriber Required
Othropedic Surgeon
Recommender Required
No
Preauthorization Required
No
Frequency
2/LIFETIME
Negotiated Fee
$225.00
Provincial Coverage
No
Comments
SEE NOTE 14
Notes
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.