(You may have to accept the AMA License Agreement.) The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. Other Carrier Policies (Kansas/Nebraska/Western Missouri, North Dakota, GHI of New York), Yale University School of Medicine, Department of Pain Management, Local Medical Policy from Nationwide Insurance Company. Clearwater, FL 68137 : Phone Number: (888) 912-4767 - Effective 2/1/2022: Age: 65: Gender: Female: Smoker: No : Monthly: . Reproduced with permission. But AARP members may prefer the low-cost premiums and additional discounts offered by UnitedHealthcare if theyre not interested in a high-deductible Plan G. Those looking for a low-cost vision, hearing, and dental add-on will be best served by Blue Cross Blue Shield, while folks seeking the cheapest possible premium should consider a high-deductible Plan G from Humana. Medicare contractors are required to develop and disseminate Local Coverage Determinations (LCDs). Our rates and commissions are extremely competitive, and our staff of . The information displayed in the Tracking Sheet is pulled from the accompanying Proposed LCD and its correlating Final LCD and will be updated as new data becomes available. And if you need prescription drug coverage, Humanas Part D plans are highly rated and widely available. Southern Guaranty Insurance Company Medicare Massachusetts Mutual Life Insurance Company PURITAN LIFE INS CO OF AMERICA Aetna American General Life Insurance Company Aetna Combined Insurance Company of America Other ID's: Aflac Need to submit transactions to this insurance carrier? We calculated the quality of each companys different plan types. Together we can all make a huge difference. Tanya Feke, MD, is a board-certified family physician, patient advocate and best-selling author of "Medicare Essentials: A Physician Insider Explains the Fine Print.". All rights reserved. These cookies will be stored in your browser only with your consent. You will find them in the Billing & Coding Articles. These cookies do not store any personal information. Employers partner with SGIA in order to provide additional benefit offerings to their employee base, retirees, and caregivers. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, 800 Crescent Centre Drive, Suite 200 Americo Financial Life and Annuity Insurance Company Great Southern Life Insurance Company. LCDs outline how the contractor will review claims to ensure that the services provided meet Medicare coverage requirements. You will need to decide if paying higher monthly payments makes more sense financially than paying higher costs when you need care. Monday - Thursday: 7:00 AM - 5:00 PM. Enrollment in Health Net depends on contract renewal. SE Suite 102Rio Rancho, NM 87124. Employers cover about 70% of healthcare costs, with large claims increasing 12-14% per year. The following sources of information were cited in the Iowa LMRP: The LCD is revised to remove CPT/HCPCS codes in the Keyword Section of the LCD. No fee schedules, basic unit, relative values or related listings are included in CPT. Southern Guaranty Insurance Company * 19 Principals See who the company's key decision makers are 24 Contacts Reach the right people with access to detailed contact information. 25% DISABLED BEFORE RETIREMENT There are 6 companies that go by the name of Southern Guaranty Insurance Company. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. The AMA assumes no liability for data contained or not contained herein. In addition, the company offers extended customer service with weekend hours and live chat support, in addition to a 24/7 nurse advice line for medical questions. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. In no event shall CMS be liable for direct, indirect, Site of Care Optimization for Therapeutic Infusions (SCOTI), Special Supplemental Benefits for Chronically Ill Attestation, Medi-Cal Rx Prior Authorization Reinstatement Webinar, Open Negotiation Notice No Surprises Act, Cal MediConnect Non-Participating Providers Overview, California Correctional Health Care Services (CCHCS). authorized with an express license from the American Hospital Association. endstream endobj startxref Main Menu. The one-time Medigap Open Enrollment Period starts when you first enroll in Medicare Part B and ends six months later. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Webinars available for Adverse Childhood Experiences (ACEs) training and additional areas to support your work with CalAIM and other special populations. and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only Lowest Cost High-Deductible Plan G: Humana. The pain of active trigger points can begin as an acute single muscle syndrome resulting from stress overload or injury to the muscle, or can develop slowly because of chronic or repetitive muscle strain. without the written consent of the AHA. The document is broken into multiple sections. Another option is to use the Download button at the top right of the document view pages (for certain document types). It covers most of your preventative in-network dental care, vision exams with standard lenses once per year, and an annual hearing exam with discounts of up to 60% on hearing aids. The headquarters is located in North Carolina. Minor criteria. Contact local State Farm Agent www.statefarm.com A, C, D, F, G, N . A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. GREAT SOUTHERN LIFE INS CO PO Box 410288 Kansas City, MO 64141-0288 (800) 231-0801 www.americo.com GUARANTEE TRUST LIFE INSURANCE COMPANY 1275 Milwaukee Ave. Glenview, IL 60025 1-800-323-6907 www.gtlic.com HEARTLAND NATIONAL LIFE INS. For example, Blue Cross Blue Shield offers a unique Plan G Plus in Illinois that includes vision and dental benefits. 1-800-338-7452 1275 Milwaukee Avenue Glenview, IL 60025. HWnWR2~ F $l#d3""eK6}9u`/ wn)ivi:;u !57x7=&7_n?|oW%oNo^w_zz?O1, :4?ZoR/:p!t7n:4H:,aI>Ku~qBtH-mKD-b$Tx7Cr1i),9@ Also available is a 20% multi-insured discount, and a $48 per year electronic payment discount. ARKANSAS INSURANCE COMPANY: WRITE REVIEW: Address: 13600 Icot Blvd, Bldg A Clearwater, FL 33760: Registered Agent: Filing Date . While every effort has Regardless, you will need to gather the necessary information to complete your application. copied without the express written consent of the AHA. If you have a question about your policy, you can use the contact information below (based on the underwriting company of your policy). 19-011-1 (1120) Agent Guide.indd The page could not be loaded. The contractor information can be found at the top of the document in the Contractor Information section (expand the section to see the details). To enroll in a low-cost plan from UnitedHealthcare, you must be an AARP member. There is no option to sign up on the Medicare website. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. PO Box 410288 Kansas City, MO 64141-0288. The AMA does not directly or indirectly practice medicine or dispense medical services. No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be Though pricing for Humanas standard Plan G is inferior to other providers, we found the company offers the lowest average premium for high-deductible Plan G. The insurer also provides several discounts, including a 6% online enrollment discount in most states, a household discount for living with another adult, and an electronic payments discount. Click here to remain signed in! The company id for this entity is J718059. Medicare.gov offers a plan finder that lets you search for Medigap plans by ZIP code. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. xmp.did:B7EDCC2CE020E511B12BA5D0C5FAF883 Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not Medicare Supplement Administrative Office Mailing Information . After making the diagnosis of myofascial pain syndrome and identifying the trigger point responsible for it, the treatment options are: The CPT codes for trigger point injections use the phrase "muscle group(s)". You can visit your state-specific Blue Cross Blue Shield website or medicare.gov to find out which plans are available in your area and to get a quote. It is mandatory to procure user consent prior to running these cookies on your website. Renters Insurance; Umbrella Insurance; Contact; Agent Login; 1-888-875-0028. CPT is a trademark of the American Medical Association (AMA). Barry L. Mitchell founded Southern General Agency in 1984. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. We independently evaluate all recommended products and services. SGIAs clients are located throughout the country. preparation of this material, or the analysis of information provided in the material. uuid:97286e0c-6fa2-4fc4-8374-6865b1886493 When you sign up for Medicare, or during open enrollment, you must decide if you want to be on Original Medicare or Medicare Advantage. In: JR Friction. Medicare uses member eligibility files to verify secondary insurance carriers and routes the appropriate secondary claims to us for processing and payment. The membership costs $16 annually, so the cost may be offset by the savings. End User License Agreement: Download the free version of Adobe Reader. On November 18, 2021, all business migrated to one portal. endstream endobj 3 0 obj <> endobj 15 0 obj <> endobj 16 0 obj <> endobj 17 0 obj <> endobj 18 0 obj <> endobj 19 0 obj <> endobj 31 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 2001>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 32 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 2138>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 33 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 2283>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 34 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 2348>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 35 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 2402>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 36 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 2469>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 37 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 2619>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 38 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 8855>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 39 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 0.0 0.0]>>/PageUIDList<0 5435>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 62 0 obj <>stream You must have JavaScript enabled to use this form. Choosing Who Can See My Confidential Medical Information. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. The Tracking Sheet provides key details about the Proposed LCD, including a summary of the issue, who requested the new/updated policy, links to key documents, important process-related dates, who to contact with questions about the policy, and the history of previous policy considerations. Some other companies offer weekend hours or even 24/7 support. Its worth it to compare individual quotes across a few providers. Our experts will navigate the enrollment process for you. Please note that prescriptions for controlled substances will be filled at the discretion of your provider and is not guaranteed by scheduling an appointment. We cater to practically every segment of the P&C business through some of the most reputable insurers in the industry. Read our, How to Shop and Compare Medicare Supplement Plan G, Step 1: Choose Between Original Medicare and Medicare Advantage, Step 2: Determine Which Types of Medicare Supplement Plan G Are Available, Step 3: Choose a Regular or High-Deductible Plan G, Step 4: Ask a Medicare Specialist About Medicare Supplement Plan G, Step 5: Enroll in Medicare Supplement Plan G. Medicare F Went Away. Necessary cookies are absolutely essential for the website to function properly. Review the article, in particular the Coding Information section. Look for a Billing and Coding Article in the results and open it. be sure to use the appropriate address listed below. There are 3 director records in this entity. Local Medical Review Policy from Iowa, Aug 1999. * Please update your bookmarks. Will Plan G Stick Around? Highest average NCQA rating across Medicare supplement providers. Awad EA, JR. eds. As a result, high-deductible plans were made available for the first time. 2020-10-27T10:35:37-05:00 You can get Part D coverage and dental insurance from the company as well, along with life insurance and long-term care insurance, for which Mutual of Omaha is one of our top picks. If you are a Medicare Supplement policyholder, please call 1.877.212.2346 to service your policy. (Medigap F Plans aren't available if you became eligible for Medicare in or after 2020.). Southern Guaranty Insurance Company Insurance SHRIRAM GENERAL INSURANCE CO. LTD. Insurance . Providers of acupuncture services must inform the beneficiary that their services will not be covered as acupuncture is not a Medicare benefit.Prolotherapy, the injection into a damaged tissue of an irritant to induce inflammation, is not covered by Medicare. Companies Selling Medicare Supplement Insurance in Texas. For this supplementary claims processing information we rely on other CMS publications, namely Change Requests (CR) Transmittals and inclusions in the Medicare Fee-For-Service Claims Processing Manual (CPM). Compare Medigap quotes from multiple Medicare supplement companies with a licensed Medicare representative before buying. Medicare Supplement Insurance, Critical Illness Insurance, Accident and Limited Medical Insurance . application/pdf While its competitors have higher grades, this still indicates an excellent ability to pay claims. The American Board of Internal Medicine (ABIM) Foundation encourages practitioners and patients to "Choose Wisely." Adobe PDF Library 15.0 MEET THE TEAM 70% HEALTHCARE COST Employers cover about 70% of healthcare costs, with large claims increasing 12-14% per year. 4. Southern Guaranty Insurance Company 888-875-1592 premieradministrativesolutions.com. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Mutual of Omaha offers excellent pricing for Medicare Supplement Plan Gonly UnitedHealthcare offers lower average monthly premiums. Monthly costs vary by state, age, and gender. False For the most part, codes are no longer included in the LCD (policy). CalAIM Updates for Medi-Cal &Cal MediConnect Providers. recommending their use. To help you find the best Medicare Supplement Plan G provider, we compared the top companies by market share within the insurance industry and the Medicare plans they offer. CDT is a trademark of the ADA. 2020-10-27T10:35:37-05:00 recipient email address(es) you enter. A life insurance policy ensures that if you die while your policy is active, your loved ones will receive a lump-sum payout, known as a death benefit. This website uses cookies to improve your experience. Find services like food, shelter, job training, legal assistance and more. Medicare Supplement G Plans have stepped up as the leader in having the lowest out-of-pocket costs, covering everything F Plans do, with the exception of the Part B deductible ($226 in 2023). such information, product, or processes will not infringe on privately owned rights. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Plus, the company has excellent third-party ratings, including a 3.9 out of 5 star NCQA rating and an A+ (Superior) financial strength rating from AM Best. %%EOF Everest Reinsurance Company Great Southern Life Insurance Company Kemper Health KSKJ Life, American Slovenian Catholic Union Lincoln Heritage Life Insurance Company Lumico Life Insurance Medica Principal Life Insurance Company Puritan Life Insurance Company of America Royal Neighbors of America S.USA Life Insurance Company Table of Contents . CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Available in all states but Massachusetts, Minnesota, and Wisconsin, it covers most out-of-pocket costs for Original Medicare, including copays and coinsurance for approved Part A and Part B services, along with the Part A deductible. MACs develop an LCD when there is no national coverage determination (NCD) (e.g., when an item or service is new) or when there is a need to further define an NCD for the specific jurisdiction. hb```c`` sAb cK\$2@ , wFNU;"8uch`` D@%"gY w K_*. zK Americo is the brand name for insurance products issued by the subsidiary insurance companies controlled by Americo Life, Inc. Products are underwritten by Americo Financial Life and Annuity Insurance Company (AFL) or Great Southern Life Insurance Company (GSL), Kansas City, MO, and may vary in accordance with state laws. . Theres also a 5% multi-policy discount. Use of injections should be done as part of an overall management (usually short term) plan including one or more of the following:1. Proposed LCD document IDs begin with the letters "DL" (e.g., DL12345). A trial of oral non-steroid analgesic/anti-inflammatory drugs, if not contraindicated.Acupuncture is not a covered service, even if provided for treatment of an established trigger point.Use of acupuncture needles and/or the passage of electrical current through these needles is not a covered service, whether the service is rendered by an acupuncturist or any other provider. Enter the code you're looking for in the "Enter keyword, code, or document ID" box. MACs can be found in the MAC Contacts Report. The guidelines for LCD development are provided in Chapter 13 of the Medicare Program Integrity Manual. This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy. THE INFORMATION, PRODUCT, OR PROCESSES DISCLOSED HEREIN. Aetna Health members, log-in securely to your account to access all of your health and benefits information, or get your user name and/or password if you've forgotten it. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. There are multiple ways to create a PDF of a document that you are currently viewing. The agent name for this entity is: Corporation Service Company. required field. Our clients are encouraged to contact SGIA at anytime to discuss any services, questions or issues which may occur throughout the year. AFL is authorized to conduct life insurance business in the District of Columbia and all states except NY, and health insurance business in the District of Columbia and all states except CT, ME, and NY. This Agreement will terminate upon notice if you violate its terms. Medicare does not cover acupuncture for other indications. CalAIM (California Advancing and Innovating Medi-Cal) is a multi-year initiative by DHCS to improve the quality of life and health outcomes of our population by implementing broad delivery system, program and payment reform across the Medi-Cal program. endstream endobj 101 0 obj <. Simons DG. of every MCD page. Before an LCD becomes final, the MAC publishes Proposed LCDs, which include a public comment period. Regional pain complaintB. The Part A coinsurance for Medicare approved hospice care will be covered regardless . The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Applicable FARS\DFARS Restrictions Apply to Government Use. We identified top companies by market share within the industry offering Medicare plans from various business and market insight databases including Statistia, Plunkett, and Gale. 2020-10-27T10:35:33-05:00 Copyright © 2022, the American Hospital Association, Chicago, Illinois. All four must be present to establish the diagnosis.A. %PDF-1.5 % Discounts available and plan pricing depend on your ZIP code, age, and health if you apply after your Medigap open enrollment period. 2020-10-27T10:35:33-05:00 If you would like to extend your session, you may select the Continue Button. Aetna Health Insurance Company (Medicare Supplement) 1-800-264-4000 Hours: Monday through Friday, 7 AM to 7 PM CT Aetna Life Insurance Company (Medicare Supplement) 1-888-624-6290 Hours: Monday through Friday, 7 AM to 7 PM CT Coventry Health and Life Insurance Company (Medicare Supplement) If you have any questions, feel free to contact us by calling GTL's Customer Service Department at 800-338-7452. Creation of Uniform LCDs Within a MAC Jurisdiction. High-deductible Plan G costs ranged from $97 to $114 and $39 to $47, respectively. Giving back makes you feel good a key ingredient to a happy, healthy, and long life. . Mutual of Omaha received an A+ (Superior) financial strength rating from AM Best, which indicates the company has a superior ability to meet its financial obligations, including paying claims. Healthnet.com uses cookies. By continuing to use our site, you agree to our Privacy Policy and Terms of Use. These cover the history of ACEs and how ACEs affect lifelong health, Motivational Interviewing, Social Determinants of Health, Cultural Humility and more. 0 The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or The LCD Tracking Sheet is a pop-up modal that is displayed on top of any Proposed LCD that began to appear on the MCD on or after 1/1/2022. Since then they have grown into over 100 employees across their locations in the United States. Does Medicare Plan G Cover Acupuncture Services? You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Also, you can decide how often you want to get updates. We . Then, select View Policies for a list of specific insurance companies offering that plan in your area. All Rights Reserved (or such other date of publication of CPT). Physical and occupational therapy. As required by CR 10901, all billing and coding information has been moved to the companion article, this article is linked to the LCD. Please contact your Medicare Administrative Contractor (MAC). This revision is not a restriction to the coverage determination; and, therefore not all the fields included on the LCD are applicable as noted in this policy. (Or, for DME MACs only, look for an LCD.) Monday - Thursday 7:00 a.m. - 5:00 p.m. CST License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. You can talk or live chat with a real person, 24 hours a day, 7 days week (except some federal holidays. Due to inactivity, you will be logged out in seconds. Lowest average premium for high-deductible Plan G, Standard Plan G pricing is worse than average. Best Medicare Supplement Plan G Providers of 2023. Medicare supplement insurance also referred to as a Medigap policy because it is used to fill in the gaps in your Medicare is private health insurance designed to supplement Medicare. Find answers to your policy questions, learn how to submit a claim, change a beneficiary, or update your personal information. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Your local state health insurance assistance program or Medicare.gov's help line or live chat can help you navigate issues like these. A Local Coverage Determination (LCD) is a decision made by a Medicare Administrative Contractor (MAC) on whether a particular service or item is reasonable and necessary, and therefore covered by Medicare within the specific jurisdiction that the MAC oversees. Federal government websites often end in .gov or .mil. The scope of this license is determined by the AMA, the copyright holder. And in some states, Mutual of Omaha offers a cheaper high-deductible Plan G than Humana. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. Box 30607 Salt Lake City, UT 84130 Original Medicare covers acupuncture for chronic low back pain. The death benefit can be used to cover things like mortgage or rent payments, education costs, funeral arrangements, and more. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. An injection of a trigger point is considered medically necessary when it is currently causing tenderness and/or weakness, restricting motion and/or causing referred pain when compressed.
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