Ok, another update. 2nd appeal denied. The reviewer, who claims to be a doctor, said that the surgery would be part of a clinical trial and therefore is experimental/investigational. What a cluebag. The prestige disc has been approved for nearly 1.5 years and they think because my Dr's notes show that we discussed the options of adr AND fusion that it MUST be part of a clinical study. He even stated that it was a fact. Guess it was too much trouble to pick up the phone and ask my Dr.
It would be funny if it wasn't so important to me to get the adr. The basic lack of understanding regarding the procedure astounds me. I've already filed a complaint today with my insurance company. Hopefully it will get some traction.
__________________
DDD C5/6. Incorrectly diagnosed as tension headaches in September 1997.
Nearly continuous headache since.
Began having pain in wrists in 2000, believed it was onset of carpal tunnel.
In 2005 pain began getting worse.
Diagnosed as DDD in July 2007.
Surgery recommended after 6weeks of PT made the pain worse.
ADR scheduled for Jan 26, 2009. Rescheduled for August 5!
Bryan disc finally FDA approved, and just in time too.
Neck was all jacked up and had to be fused unfortunately.
|