What clinical documentation or attachments should be included in my viscosupplementation request?

At the time of submission for an initial viscosupplementation request, please include clinical documentation of the osteoarthritis diagnosis and any advanced imaging reports to support the request for viscosupplementation.

For any subsequent viscosupplementation requests, include documentation to reflect that at least 6 months has elapsed since the first viscosupplementation injections and evidence of significant improvement in pain and functional status as a result of the prior viscosupplementation.

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