UM Guidelines
Orthopedic

Listed by Conditions


Acromioplasty for Impingement Syndrome

Ankle Dislocation, Open or Open Reduction

Ankle Fracture, Closed, Open Reduction, Internal Fixation (ORIF)

Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF)

Ankle: Achilles Tendon Repair

Bone Excision

Cervical Fusion, Anterior

Chiropractic Manipulation

Colles' Fracture: Distal Radial Fracture, Open Treatment

DEXA or Dual Energy X-Ray Absorptiometry (DEXA)

Elbow: Fracture of Olecranon, Open Treatment

Elbow: Unicondylar Fracture, Open Treatment

Elbow Arthroplasty

Femur Fracture, Removal of Internal Fixation Device

Foot Fracture, Calcaneus or Talus, Open Reduction, Internal Fixation (ORIF)

Humerus Fracture, Open or Open Reduction

Knee Arthrotomy

Knee: Patella Reconstruction or Realignment for Recurrent Dislocation

Lumbar Diskectomy, Foraminotomy, Laminotomy, Multiple Levels

Lumbar Diskectomy or Microdiskectomy, Foraminotomy, Laminotomy, Single Level

Lumbar Laminectomy

Occupational Therapy

Radius/Ulna Fracture, Open or Open Reduction

Removal of Posterior Spinal Instrumentation

Rotator Cuff Repair with or without Acromioplasty

Shoulder Arthroplasty

Slipped Upper Femoral Epiphysis, Closed Reduction

Tibia/Fibula Shaft Fracture Closed, Closed Reduction with Internal Fixation

Tibia/Fibula Shaft Fracture Closed, Closed Reduction without Internal Fixation

Tibia/Fibula Shaft Fracture, Open or Open Reduction Internal Fixation

Tibial Osteotomy, Adult

Tibial Osteotomy for Genu Varus or Valgus, Child or Adolescent

Vertebroplasty and Kyphoplasty - Clinical Indications

Vertebroplasty and Kyphoplasty - GLOS

Wrist Arthroplasty


* These guideline(s) have been revised from the Milliman USA Milliman Care Guidelines.  The portions of the guideline(s) which have been revised are identified through the use of [insert: italic, boldface, underlined, etc. as appropriate] text, and Milliman USA has neither reviewed nor approved the modified material.  Any statement to the contrary or association of the modified material with Milliman USA is strictly prohibited. This document has been classified as public information.
The above information only contains the modified portion of the Milliman Care Guideline. If you wish to view the complete Milliman Care Guideline, please contact Milliman USA.