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Old 03-24-2015, 06:41 PM
Cheryl0331 Cheryl0331 is offline
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Join Date: Dec 2010
Posts: 747
Default Insurance re-imbursement for ADR w/prior fusion?

I have heard that some will pay 50% of what Medicare will cover, but what about next to a prior fusion? Has anyone here heard of an insurance company at least covering the Discectomy portion. They would still have to pay for that part of it with a fusion. Just reimburse the surgery cost and let us pay out-of-pocket for the ADR device.
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52 yr old 5ft.7in. 139 lbs. non-smoker conservative treatments failed
2007 fusion C4-6 w/peek implants plate & screws, failed due to long term use of cox-2 inhibitor
2008 revised w/donor bone replace plate & screws
2009 fusion Roi-C C3-4
2015 MRI & CT shows incomplete fusion, significant central canal narrows C3-4, mild posterior spurs C4-6, mjr ddd C6-7, segmental kyphosis at C7-T1 2-level ADR with Dr. Clavel
2019 some ddd C2-3 occipital nerve pain , HO behind ADR C6-7.
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