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MEDICAL JUSTIFICATION
The client’s diagnosis, specific impairments resulting from the patient’s diagnosis, and how the device will address or benefit the specific diagnosis and resulting impairments are information that insurance providers require. You must additionally provide a written explanation of the diagnosis along with the applicable code in the letter. To facilitate the approval process, describe how the device or equipment you are requesting can improve the patient’s impairments. Also, emphasize the long-term benefits as they are very important.
