Musculoskeletal: Advanced Procedures

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The reason for denial states in your letter states: Based on EviCore Comprehensive Musculoskeletal Management Guideline CMM 312 - Knee Surgery-Arthroscopic and Open Procedures (type of surgery to your knee).

Enter your Health Plan name into the search field and click on the magnifying glass. Locate the guideline by name, then click on the corresponding guideline to open the guideline document (example: CMM-312: knee Surgery- Arthroscopic and Open Procedures).

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Joint Surgery & Interventional Pain

Spine Surgery

Preface to the Comprehensive Musculoskeletal Management (CMM) Guidelines

Effective 08/01/2025