; and (II) the individual to whom the orthotics or prosthetics are furnished. (ii) The identification of the treating physician, including the name, address, and telephone number of the physician. (iii) A description of the orthotics or prosthetics ordered. (iv) Any billing code identifying the orthotics or prosthetics. (v) Diagnosis codes, a description of the individual's medical and functional condition, and information about the need for the orthotics or prosthetics. (B) Information on coding and descriptors of components provided If an orthotist or prosthetist distributes a detailed written order for orthotics or prosthetics described in subparagraph (A), the orthotist or prosthetist shall also list on the order the HCPCS codes and summary descriptors of the items and services being recommended prior to submission of the order to the treating physician for approval. (C) Signature by treating physician A detailed written order for orthotics or prosthetics described in subparagraph (A) shall be signed by the treating physician. (3) Limitation on individual liability Except as provided in paragraph (4), if an orthotist or prosthetist— (A) furnishes an orthosis or prosthesis to an individual for which no payment may be made under this part