@thenazareneshul
My experience has been my orthopedic doctor recommended certain things and my insurance would deny and then he would need to do peer to peer reviews to justify what was needed to get it approved. My various doctors’ offices would let me know my insurance companies required PT first, depending on the diagnosis/codes submitted to insurance. You can always call the insurance companies yourself with the information and codes from your doctors to ask questions about coverage and requirements. For example, my recent surgery lead initially denied due to not doing PT in the last 6 months but when my surgeon provided MRI/medical notes, it showed how bad my spine was, that I had a history of doing pain injections to delay surgery and now I needed surgery done the injections were no longer working. I had done PT a long time ago and it helped some but it wasn’t going to change the fact I had congenital spinal stenosis, osteoarthritis in my spine and degenerative disc disease.