Knee Orthosis Sample Clauses
Knee Orthosis. Knee orthosis is covered for one (1) of the following indica- tions:
(I) To reduce pain by restricting mobility of the knee;
(II) To facilitate healing following an injury to the knee or related soft tissues;
(III) To facilitate healing following a surgical procedure on the knee or related soft tissue; or
(IV) To otherwise support weak knee muscles or a knee deformity.
