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Old 09-26-2011, 09:15 PM
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MeggieLynn MeggieLynn is offline
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Join Date: Mar 2011
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Can you see if your doctor will submit it for an ADR at C5-6 and a fusion at the lower level? I thought Aetna was supposed to be ADR friendly - they might go for that. The problem is with having multi-level DDD. They might even consider a hybrid to be experimental. Most health plans in this country will not cover multi-level ADR and they are very specific about it in the plan language. They generally do not deviate from what is written in the SDP - Summary Plan Description. Good luck.
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*C4-5 and C5-6 Mild & moderate posterior broad-based disc bulges w/small posterior end plate osteophytes, mild spinal canal stenosis.
*C6-7 Broad-based posterior disc bulge w/small focal posterior central protrusion mildly indenting the anterior thecal sac, no canal or neural foraminal stenosis.
*SI Joint issues, Fibromyalgia, Chronic Myofascial Pain, Neurogenic Thoracic Outlet Syndrome
*Tx's-PT, 2 ESI's Interlaminar & transforaminal, 2 SI Joint steroid injections, Failed LBB for SI Joint
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