Orthopedics

LOMN overlay — musculoskeletal / spine / pain

Specialty overlay for letter-of-medical-necessity-builder that applies stricter MSK, spine, orthopedic, and pain-management validations: conservative-care step-therapy rules per procedure (spine surgery, neurostimulator, RFA, ESI, facet injection, DME), ODI/NDI/VAS-pain trend analysis across baseline and post-conservative-care follow-up, and imaging-to-symptom concordance checks. Invoked from within the core LOMN workflow when the case specialty is MSK; adds requirements, does not weaken the core.