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Aetna Medical Policy Orthotics

Aetna Medical Policy Orthotics -codes l1832 (knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent,.for a custom fabricated orthosis (l1900, l1904, l1907, l1920, l1940, l1945, l1950, l1960, l1970, l1980, l1990, l2000, l2005, l2006, l2010, l2020, l2030, l2034, l2036, l2037, l2038, l2106, l2108, l2126, l2128,.aetna considers physical therapy (pt) medically necessary when this care is prescribed by a chiropractor, do, md, nurse practitioner, podiatrist or other health professional qualified to prescribe.this clinical policy bulletin network foot orthotics.aetna considers orthosis (foot orthotics) and/or prosthetic medically necessary (unless otherwise specified) with the following indicating when criteria are met.