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Old 03-11-2014, 04:26 PM
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Kelly4ADR Kelly4ADR is offline
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Join Date: Jan 2014
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Default Cervical Two Level ADR approved for Category I CPT Code

My Surgeon's staff sent my first appeal off yesterday. Included along with my appeal they sent a letter from the North American Spine Society Dated March 3, 2014. It states that NASS was sucessful in obtaining a new category 1 CPT code for two level Cervical total disc arthroplasty. They added this code and also revised the existing category III CPT code to describe three or more level arthroplasty. The change will take place on January 1, 2015. I have attached a copy if anyone needs to use this as part of their appeal.
Attached Files
File Type: pdf NASS 2 level C ADR CPT CODE.pdf (712.5 KB, 24 views)
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2004 MRI -cervical bone spur causing pain
2011 MRI -5 bulging discs at C3-7: Recommended C5-6 and C6-7 for a two level fusion, I said no thanks.
2014 MRI -progressive compression C5-7.
MRI 6/5/14- Ruptured L4-5, bulge at L2-3 and L5-S1 Dr recommends discectomy of L4-5 but won't do surgery until cervical is stable
8/2014- 8 months/3 rounds of appeals, Aetna denies 2 level cervical ADR
2 level ADR w/ mobi-c C5-7 Jan 7, 2015
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