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.
Appears in 4 contracts
Samples: Health Care Plan Rules, Health Care Plan Rules, Health Care Plan Rules
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 tissuestissue(s);
(III) To facilitate healing following a surgical procedure on the knee or related soft tissuetissue(s); or
(IV) To otherwise support weak knee muscles or a knee deformity.
Appears in 2 contracts
Samples: Health Care Plan Rules, Health Care Plan Rules