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).

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Preface to the Comprehensive Musculoskeletal Management (CMM) Guidelines

Joint Surgery & Interventional Pain

Spine Surgery

Preface to the Comprehensive Musculoskeletal Management (CMM) Guidelines

Effective 08/04/2026