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2016 NIA Clinical Guidelines for Medical Necessity Review MUSCULOSKELETAL AND SPINE SURGERY BLUE CROSS BLUESIER OF SOUTH CAROLINA BLUECHOICE NIA Clinical Guidelines 2016 Magellan Health, Inc. Proprietary

How to fill out musculoskeletal and spine surgery

How to fill out musculoskeletal and spine surgery:

1. First, schedule an appointment with a qualified orthopedic surgeon or spine specialist to discuss your symptoms and concerns.
2. Prior to the surgery, the medical team will conduct a thorough evaluation, which may include diagnostic imaging tests like X-rays, MRIs, or CT scans.
3. Follow the pre-surgery instructions provided by your healthcare provider, such as medications to stop taking, fasting requirements, and any necessary preoperative tests.
4. On the day of the surgery, arrive at the designated hospital or surgical center on time and complete the necessary paperwork, including consent forms.
5. The medical team will prepare you for the surgery by administering anesthesia, which may include general anesthesia, regional anesthesia, or a combination, depending on the specific procedure.
6. During the surgery, the orthopedic surgeon or spine specialist will perform the necessary procedures to address the musculoskeletal or spine issue. This may involve repairing fractures, removing tumors, realigning spinal structures, or fusing vertebrae.
7. After the surgery, you will be taken to a recovery area where the healthcare team will closely monitor your vital signs and manage your pain.
8. Follow the post-surgery instructions given by your healthcare provider, including information on wound care, medications, physical therapy, and any restrictions or limitations on activities.
9. Attend all recommended follow-up appointments to ensure proper healing and to address any concerns you may have during the recovery process.
10. Engage in rehabilitation exercises and therapies as prescribed by your healthcare provider to regain strength, mobility, and function in the affected area.

Who needs musculoskeletal and spine surgery?

1. Individuals with chronic back or neck pain that does not respond to conservative treatments such as physical therapy, medication, or lifestyle modifications may require musculoskeletal and spine surgery.
2. Patients diagnosed with herniated discs, degenerative disc disease, spinal stenosis, scoliosis, or other structural abnormalities in the spine may be candidates for surgery.
3. Traumatic injuries, such as fractures or dislocations, that affect the musculoskeletal system or spine may require surgical intervention to restore function and stability.
4. Individuals with spinal tumors or infections may undergo surgery to remove or treat the underlying condition.
5. In some cases, musculoskeletal and spine surgery may be recommended to treat genetic or congenital conditions that affect the musculoskeletal system or spine.
6. The decision to undergo surgery is typically made in collaboration with a healthcare provider, taking into consideration the severity of symptoms, the overall health of the patient, and the potential benefits and risks associated with the surgical procedure.

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