[gwin]

HI All:

I don't mean to butt in, but I am in a rather departe situation putting together an appeal to Blue Cross (Using Laurie's book and advise) for denial of a 2 level fusion.

I need to find other people that Blue Cross has approved for fusion that either had no documented spinal instability or severe pain alone was reason for approval of fusion.

I was set for a 2 level bi-lateral decompression and fusion of L1,2 and L2,3 plus laminectomy of L3 and L4, but the evening before surgery was notified by my doctors office that Anthem Blue Cross of CA had denied coverage. "Not medically necessary" because there in no clear indication of "spinal instability". 24/7 severe pain from L1,2 and L2,3, bone on bone.

I would really appreciate anyone who has been approved by blue Cross for fusion feedback. Thanks.