| http://www.w3.org/ns/prov#value | - ll between 21 - 60.Preoperative psychiatric/psychological evaluation conducted by a licensed psychiatrist, psychologist or other licensed mental health professional who has a working knowledge of the psychological issues involved in chronic pain syndromes;Documentation must include Oswestry Disability Index (ODI) or FOTO scores from the first and last therapy visits prior to surgery that demonstra
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