L2221 prior authorization | Blue Cross and Blue Shield of Montana

L2221, Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: L2221
Description: Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 272 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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