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Thoughts -- Spinal Fusion Denied by Insurance (Final Appeal Denied)

This is a discussion on Thoughts -- Spinal Fusion Denied by Insurance (Final Appeal Denied) within the Artificial Disc Replacement forums, part of the Spine Surgery Support category; Ok, we'll be here Thursday, with bells on Matt! Hang in there, Cindylou...

  1. #21
    Moderator Cindylou's Avatar
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    May 2009
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    Minneapolis, Minnesota
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    Default Re: Thoughts -- Spinal Fusion Denied by Insurance (Final Appeal Denied)

    Ok, we'll be here Thursday, with bells on Matt! Hang in there, Cindylou
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

  2. #22
    Senior Member bigdogchief76's Avatar
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    Default Re: Thoughts -- Spinal Fusion Denied by Insurance (Final Appeal Denied)

    Currently being reviewed by nurse. Tomorrow???? IDK....

    Am I reading into it too much that only a nurse has to review? So much speculation.

    Just waiting patiently....

    MB
    Matt Brown

    L5-S1 DDD with retrolisthesis, central HNP and severe discogenic pain
    18 March 2011 - Pro-Disc L installation
    Proud Air Force Veteran
    Daddy to 2 beautiful little girls

  3. #23
    Moderator Cindylou's Avatar
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    Default Re: Thoughts -- Spinal Fusion Denied by Insurance (Final Appeal Denied)

    Quote Originally Posted by bigdogchief76 View Post
    Currently being reviewed by nurse. Tomorrow???? IDK....

    Am I reading into it too much that only a nurse has to review? So much speculation.

    Just waiting patiently....

    MB
    Hmmmmm.....I would think more than a nurse would have to review it. And if it is a nurse reviewing it, perhaps you could use that in your third and final appeal, maybe? Dk. Keep us posted.

    CL
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

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