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PRIOR AUTHORIZATION for MINIMALLY INVASIVE FUSION OF THE SACROILIAC JOINT
For authorization, pleasecompletethisform, includepatientchart notestodocumentinformationandFAXtothePEHPPrior
AuthorizationDepartmentat(801)3667449ormailto:560East200SouthSaltLakeCity,UT84102.
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How to fill out sacroiliac joint fusion
How to fill out sacroiliac joint fusion
01
To fill out the sacroiliac joint fusion, follow these steps:
02
First, position the patient appropriately on the operating table, ensuring they are comfortable and their body is properly aligned.
03
Administer anesthesia to the patient to ensure they are comfortable and pain-free throughout the procedure.
04
Make a small incision near the sacroiliac joint area, using a scalpel or other surgical instrument.
05
Prepare the joint surfaces for fusion by removing any damaged cartilage or tissue.
06
Insert screws or other implants into the sacrum and ilium bones to stabilize the joint.
07
Use bone graft material to promote fusion between the two bones. This can be done using bone graft from the patient's own body or using synthetic bone graft substitutes.
08
Close the incision using sutures or staples, ensuring the wound is properly secured and sterile.
09
Monitor the patient post-surgery for any complications or discomfort, and provide appropriate pain management and follow-up care.
Who needs sacroiliac joint fusion?
01
Sacroiliac joint fusion is typically recommended for individuals who experience chronic pain and dysfunction in the sacroiliac joint.
02
Specifically, it may be needed for those who have sacroiliac joint dysfunction, sacroiliac joint instability, or sacroiliac joint degeneration.
03
These conditions can cause significant pain and limited mobility, affecting the individual's quality of life.
04
Sacroiliac joint fusion may be considered when conservative treatments have failed to provide adequate relief or when the joint damage is severe.
05
It is important to consult with a qualified healthcare professional to determine whether sacroiliac joint fusion is appropriate for an individual's specific condition.
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What is sacroiliac joint fusion?
Sacroiliac joint fusion is a surgical procedure that aims to stabilize the sacroiliac joint by fusing the sacrum and ilium together.
Who is required to file sacroiliac joint fusion?
Sacroiliac joint fusion is typically performed by orthopedic surgeons or spinal surgeons.
How to fill out sacroiliac joint fusion?
To fill out a sacroiliac joint fusion report, one must provide detailed information about the procedure, including patient information, surgical technique used, and any complications.
What is the purpose of sacroiliac joint fusion?
The purpose of sacroiliac joint fusion is to reduce pain and improve stability in the sacroiliac joint.
What information must be reported on sacroiliac joint fusion?
Information such as patient demographics, procedure details, and post-operative outcomes must be reported on sacroiliac joint fusion forms.
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