i know... not encouraging... i did this query specifically for disc replacement last year when i was fighting for coverage. if you read some of the cases sometimes one of the three reviewing physicians will deem ADR appropriate for the patient's condition and recommend overturning the Health Plan's decision but if the other two don't it's majority rules and the denial is upheld. the two cases i had emailed myself were EI06-5974 and EI06-5652. i'm sure there are more by now. i think the more people that request the IMR (independent medical review) that qualify the better.
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scoliosis; 1998 snowboarding injury->DDD L3-S1 w/annular tears/protrusions; 2007 episodes of rt foot drop
2007 Prodisc ADR L4-S1
L4-5 Prodisc tilted/facet issues; old L5 nerve damage
2009 L4-5 Prodisc ADR removed and revised to XLIF w/posterior instrumentation
massive hemorrhage from tear of inferior vena cava at right iliac vein due to adhesion from Prodisc op
2010 not fused; as a result of complications permanent nerve damage to lumbar plexus causing severe rt leg, hip, groin pain
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