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Documenting Medical Necessity for Major Joint Replacement (Hip and Knee)

This MLN Matters® Special Edition (SE) is intended for physicians who perform major joint replacement (hip and knee) surgery on Medicare beneficiaries. This article may also be of interest to hospitals, multispecialty clinics, and accountable care organizations.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.