FOOTWEAR AND RELATED ACCESSORIES - CUSTOM-BUILT WINTER BOOTS

FOOTWEAR AND RELATED ACCESSORIES - CUSTOM-BUILT WINTER BOOTS

Benefit Code Number
504373
Program of Choice
11 - Prosthetics and orthotics
Province
Alberta
Prescriber Required
Physiatrist
Othropedic Surgeon
Medical Doctor
Recommender Required
No
Preauthorization Required
No
Limit
$2,500.00
Frequency
1/2 CY
Provincial Coverage
No
Comments
SEE NOTE 1, SEE NOTE 6
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 1 - PRESCRIBER NOT REQUIRED FOR REPLACEMENT ISSUE NOTE 6 - IF CLIENT'S NEEDS CAN BE MET USING BENEFIT CODE 508010, BENEFIT CODES 503713 AND 504373 SHOULD NOT BE APPROVED. IF MEDICAL NEED FOR BENEFIT CODES 503713 AND 504373 HAS BEEN ESTABLISHED, BENEFIT CODE 508010 SHOULD NOT BE APPROVED