UM Guidelines

Listed by Conditions

Achilles Tendon Repair

Acromioplasty and Rotator Cuff Repair

Ankle Dislocation, Open or Open Reduction

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

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

Arthrography, MR

Cervical Fusion, Anterior

Chiropractic Manipulation

Colles' Fracture: Distal Radial Fracture, Open Treatment

Elbow: Fracture of Olecranon, Open Treatment

Elbow: Unicondylar Fracture, Open Treatment

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: Fracture of Tibial Plateau, Closed or Open Reduction

Knee: Patella Reconstruction or Realignment for Recurrent Dislocation

Lumbar Diskectomy, Foraminotomy, Laminotomy, Multiple Levels

Lumbar Diskectomy or Microdiskectomy, Foraminotomy, Laminotomy, Single Level

Lumbar Laminectomy

Slipped Upper Femoral Epiphysis, Closed Reduction

Spinal Manipulation Therapy (SMT), Chiropractic and Other

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

Tibial Osteotomy, Adult

Vertebroplasty and Kyphoplasty

Wrist Arthroplasty

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