Utilization Review · IMR-2026-0418Apr 18, 2026
Notice of Non-Certification
The requested durable medical equipment is not certified based on a review of submitted documentation under MTUS guidelines.
DENIED
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The requested durable medical equipment is not certified based on a review of submitted documentation under MTUS guidelines.
Re: Non-certification dated April 18, 2026, for E0218 cold compression therapy following arthroscopic repair. The denial fails to address the treating physician's documented findings of post-surgical edema and prescribed post-op protocol.
A real cold-compression denial, transformed.