Prompt Title: Aetna Procedure Denial Appeal

Write a letter to Aetna appealing the denial of elective lipoma removal dated Aug 8, 2022. The reason for denial was "appears cosmetic." Patient has a 17 cm x 3 cm cylindrical lipoma on the right side of their back. The superior pole is immediately medical to the scapula and then descends 17cm to their mid back. The lipoma is large enough to materially affect the range of motion of their right shoulder. Further, their sleep is interrupted by pain and discomfort that arises from them sleeping on the lipoma. Last, there is clear evidence of an increased risk of malignant transformation of lipomas that are greater than 3 x 3cm in size, which this lipoma clearly is. It is for these reasons that the removal needs to be approved.