Diagnosis: s/p T4-Pelvis posterior fusion
Issue under review: Continued SNF admission

Determination:
The continued SNF admission was medically necessary.

As of date under review, the patient was ambulating 50-60 feet with rolling walker with contact-guard assistance, propelling wheel-chair 20 feet with moderate assistance and requiring minimum assistance for most ADLs. Her safe ambulation and improved balance, along with improved functionality towards independence or modified independence with ADLs, required continued stay in SNF rehabilitation.