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any customizations or modifications to the assistive device itself or for your use of the assistive device. d. Records of any prolonged post-operative recovery periods and related treatments (for example, surgeries and treatments for burns); documents the need for ongoing surgical procedures and associated medical treatments to restore function of the affected body part(s)

Major weight-bearing joints are the hip, knee, and ankle-foot. The ankle and foot are considered together as one major joint. Additionally, AER is always expressed as a percentage, whereas APR can be expressed as a percentage or a pound and pence figure. it is not necessary for the medical source to evaluate your ability to walk without the prosthesis(es) in place. When the criterion is imaging, we mean that we could reasonably expect the findings on imaging to have been present at the date of impairment or date of onset. The stated interest rate is the annual interest rate that the bank or financial institution advertises. But, similarly to APR, it doesn’t consider any additional charges.D. Amputation of one or both lower extremities, occurring at or above the ankle (talocrural joint), c. Compromise of a nerve root(s) of the lumbar spine. Compromise of a nerve root as it exits the lumbar spine between the vertebrae may limit the functioning of the associated lower extremity. The physical examination reproduces the related symptoms based on radicular signs and clinical tests. When a nerve root of the lumbar spine is compromised, we require a positive straight-leg raising test (also known as a Lasègue test) in both supine and sitting positions appropriate to the specific lumbar nerve root that is compromised. Under 1.20C, we consider the amputation of one upper extremity at any level at or above the wrist and one lower extremity at or above the ankle. Imaging (for example, joint space narrowing, bony destruction, or ankylosis or arthrodesis of the affected joint).

congenital abnormality or absence, surgery for treatment of conditions such as cancer or infection, or complications of peripheral vascular disease or diabetes mellitus. General. The functional criteria are based on impairment-related physical limitations in your ability to use both upper extremities, c. Imaging and other diagnostic tests can provide evidence of physical abnormalities; however, these abnormalities may correlate poorly with your symptoms, including pain, or with your musculoskeletal functioning. Accordingly, we will not use findings on imaging or other diagnostic tests as a substitute for findings on physical examination about your ability to function, nor can we infer severity or functional limitations based solely on such tests.a. When the medical source reports that a clinical test sign(s) is positive, unless we have evidence to the contrary, we will assume that he or she performed the test properly and accept the medical source’s interpretation of the test. For example, we will assume a straight-leg raising test was conducted properly (that is, in sitting and supine positions), even if the medical source does not specify the positions in which the test was performed. Amputation of one lower extremity or both lower extremities with complications of the residual limb(s) and that ongoing surgical treatment has not ended, or is not expected to end, within at least 12 months of the initiation of the surgical management

What do we consider when we evaluate reconstructive surgery or surgical arthrodesis of a major weight-bearing joint we need evidence from a medical source documenting the medical basis for your inability to use the device(s).If you use a hand-held assistive device, we need evidence from a medical source describing how you walk with the device. a. Compromise of unilateral nerve root of the cervical spine. Compromise of a nerve root as it exits the cervical spine between the vertebrae may affect the functioning of the associated upper extremity. The physical examination reproduces the related symptoms based on radicular signs and clinical tests appropriate to the specific cervical nerve root (for example, a positive Spurling test). B. The surgical management has been, or is expected to be, ongoing for a continuous period of at least 12 months. Operative reports. If you have had a surgical procedure, we need a copy of the operative report, including details of the findings at surgery and information about any medical complications that may have occurred. If we do not have the operative report, we need confirmatory evidence of the surgical procedure from a medical source (for example, detailed follow-up reports or notations in the medical records concerning the surgical procedure in your medical history). when the last surgical procedure or medical treatment directed toward the re-establishment or improvement of function of the involved part has occurred.

i) Wheeled and seated mobility devices involving the use of both hands. Some wheeled and seated mobility devices involve the use of both hands to use the assistive device (for example, most manual wheelchairs). If you use a wheeled and seated mobility device that involves the use of both hands, then the need for the assistive device limits the use of both upper extremities. as well as various post-surgical procedures, surgical complications, infections or other medical complications,General. We need objective medical evidence from an acceptable medical source to establish that you have a medically