DEFINITIVE ACTIVITY - SPECIFIC RECREATIONAL UPPER LIMB

DEFINITIVE ACTIVITY - SPECIFIC RECREATIONAL UPPER LIMB

Benefit Code Number
501523
Program of Choice
11 - Prosthetics and orthotics
Province
Alberta
Prescriber Required
Medical Doctor
Recommender Required
No
Preauthorization Required
Yes
Frequency
1/5 CY PER SIDE
Provincial Coverage
No
Comments
SEE NOTE 1
Notes
GENERAL NOTES COMMAS APPEARING IN THE "PRESCRIBER REQUIRED" AND "RECOMMENDER REQUIRED" COLUMNS INDICATE OR, EG. "MD", "RN" MEANS "MD" OR "RN". SPECIAL NOTES