Physical therapy letter of medical necessity 2025

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Medical Necessity - Rehabilitation Services must be under accepted standards of medical practice and considered to be specific and effective treatment for the patients condition. The amount, frequency, and duration of the services planned and provided must be reasonable.
A Letter of Medical Necessity (LMN) is the written explanation from the treating physician describing the medical need for services, equipment, or supplies to assist the claimant in the treatment, care, or relief of their accepted work-related illness(es).
Obtaining the Letter of Medical Necessity: The letter can be written by a physical therapist or occupational therapist and signed by the physician or conversely, the physician can write the letter, and additional supporting letters can be included from the physical and/or occupational therapist.
There is nothing preventing the PT from writing the note, it is up to the employers discretion to accept it or request a doctors note.
I am writing on behalf of my patient, [PATIENT NAME], to [REQUEST PRIOR AUTHORZATION/DOCUMENT MEDICAL NECESSITY] for treatment with [INSERT PRODUCT]. The [PATIENT NAME] has a diagnosis of [DIAGNOSIS] and needs treatment with [INSERT PRODUCT], and that [INSERT PRODUCT] is medically necessary for [him/her] as prescribed.
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Oftentimes they will require a letter of medical necessity, which is typically provided by your physician or therapist. Letters of medical necessity are critical to getting coverage for the equipment or service your child needs and must include certain, specific information or your request will automatically be denied

how to write a letter of medical necessity for physical therapy