Documenting Medical Necessity for TJR

“Painful DJD unresponsive to conservative treatment” is not enough

Mary Ann Porucznik

Although a total hip or total knee arthroplasty is frequently seen as an “elective” procedure, for most patients, it’s also the last step in a long effort to maintain quality of life. Most orthopaedic surgeons won’t recommend a total joint replacement (TJR) until after multiple other options to reduce pain and maintain function have been tried.

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