I am in Illinois.
cigna ppo is my primary carrier.
2 appeals denied.
bc/bs il is secondary carrier.
2 appeals denied.
ADR Charite device at l3-l4, "hybrid" application combined with 2 level fusion below at l4-l5-S1.
Was denied as considered experimental technology. Also because it is outside the FDA approval criteria as being used at l3.
FDA approval for charite is for single level from l4 to s1 and thus my surgery did not meet specifics.
I am not a work comp case.
4 level fusion still pending approval they are also fighting on that one!
ck
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ACDF C5-C7 2002 with hardware
PLIF L2-S1 11/28/07
NSPINE DEVICE USED AT L2/3 ..fused with hardware to s1...
severe ddd for 10+ years tried every conservative therapy avail denied hybrid adr l2/l3 combined w fusion 3 appeals
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