Jesus. That’s disgusting.

Edit: Hang on I just skimmed that document it seems to indicate it IS considered medically necessary.

Edit edit:

* Prolonged or therapeutic endoscopic procedure requiring deep sedation such as endoscopic retrograde cholangiopancreatography (ERCP) or repeat colonoscopy due to tortuous colon; **or**
* A history of or anticipated poor response due to cross tolerance or paradoxical reaction to standard sedatives used during moderate (conscious) sedation specifically due to narcotics or benzodiazepines; **or**
* Increased risk for complication due to severe comorbidity (American Society of Anesthesiologists \[ASA] class III physical status or greater. See Appendix for physical status classifications); **or**
* Individuals over 70; **or**
* Individuals under the age of 18; **or**
* Pregnancy; **or**
* History of drug or alcohol abuse; **or**
* Uncooperative or acutely agitated individuals (for example, delirium, organic brain disease, senile dementia); **or**

Uncooperative or acutely agitated individuals. Tell the doc to tell the insurance that it makes you crazy without it and you can’t tolerate it. Jeez is your doctor new at doing these things? That’s what they do they submit whatever criteria is accepted that they don’t have to prove with charts.