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Candidates for manipulation under anesthesia (MUA) are selected after undergoing a detailed exam that includes an adequate history, thorough physical, and the appropriate diagnostic imaging and laboratory procedures necessary for an accurate diagnosis of the underlying condition.
The burden of proof for medical necessity rests with the treating doctor of chiropractic or other medical professional. In order for manipulation under anesthesia to be applicable to the patient, the following should be substantially documented in the patient's history and physical exam.