Arthroscopic subacromial decompression (for subacromial ...

A.Requests for PA for GAS must be submitted by the surgeon performing the procedure and accompanied by clinical documentation that supports the medical necessity for the procedure, including, but not limited to, the assessment made by the qualified mental health professional(s) resulting in a diagnosis of GD and the referral(s) for surgery from the qualified mental health professional(s). ................
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