Posted by: notdeaddinosaur | December 21, 2012

Medical Necessity

The powers that be have determined that doctors prescribe things that are not necessary. While I acknowledge that there are times when consumers — er, patients — are so taken with advertising that they insist on certain documentation from their doctors (cough*scooters*cough), by and large, most of the time I have very good reasons for prescribing the things I do.

One of the things falling under the heading of “Durable Medical Equipment” is prostheses of various kinds. I often get requests for a “Certificate of Medical Necessity” for these devices, with which I have no problem. There are times, though, when the questions become so nonsensical, I feel I have no choice but to spell it out for them:

It's not going to grow back

This is a request for a CMN for a prosthesis for a partial foot amputation. (Click on the image for a larger view.) For anyone who can’t read my writing, what it says for Medical Necessity is this:

It’s not going to grow back.

Because it’s not.



  1. It’s a bit of a standing joke here in Israel — or I thought it was — that our National Insurance Institute [Bituach Leumi] requires amputees to submit to an annual examination for renewal of their handicapped status and continuance of the benefits they get for being handicapped.

    I wrote above that I thought it was a joke, until I received a letter telling me that they had to check to see whether I still had a total hip replacement or not.

  2. […] Another great example: Medical Necessity « Musings of a Dinosaur. […]

  3. Best. Doctor.Ever. So pragmatic she reveals our asinine health system to be what it is…..IMHO…….Susan

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