|
|
|||||||
| Insurance Hell All insurance-related matters are here: Medicare, worker's compensation, appeals, denials, insights, wins, losses. PRICING is here too. Note: This forum has posts from 2006 forward. Older ones are in the Big File. |
 |
|
|
Thread Tools |
|
#1
05-24-2021, 07:00 PM
|
|||
|
|||
Blue Shield of CA Double Lumbar ADR
Shocker...looks like Blue Shield of CA now lists double lumbar ADR as an approved procedure, page 4!!! Might be time to change insurance.
https://www.blueshieldca.com/bsca/bs...Spine_Surg.pdf
__________________
Chris Back and Neck Pain 30+ years, Chiropractic care Several Epidurals and Blocks over past 5 years Awaiting Insurance for 2 ADR Lumbar L5-S1 L4-L5 Discogram showed Shredded L5-S1 5 YO MRI of neck shows straightening of cervical spine, issues at C4-5 & C5-6 and C6-7 (central disk protrusions, bilateral uncovertebral joint arthropathy, moderate neural forminal stenosis, severe central stenosis with cord compression) Aetna approved C6-7 replacement, scheduled for 11/17 
|
|
#2
05-26-2021, 05:02 PM
|
|||
|
|||
|
Awesome Sauce!
I have BCBS of Oklahoma; I wonder how that compares. Thank you for sharing!
__________________
54 yr old female 5'7" 147 lbs. non-smoker conservative treatments failed 2007 fusion @ C4-6 peek cages, failed due to long term use of cox-2 inhibitor 2008 revised C4-6 donor bone, plate & screws 2009 fusion with Roi-C @ C3-4 2015 MRI & CT mjr ddd @ C6-7, segmental kyphosis at C7-T1, 2-level M6-C prosthesis by Dr. Clavel Barcelona Spain 2019 H.O. formed behind M6-C @ C6-7 left nerve rt & in spinal canal. 2020 Revision C6-7 to a CP-ESP prosthesis by Dr. Schmitz Dusseldorf Germany
|
|
#3
06-29-2022, 03:41 PM
|
||||
|
||||
|
bsbc
Quote:
__________________
2007 mri revealed all but 2 discs of entire spine are either bulged, some torn, a few herniated and compressing foramenal nerves or chord c3-4 fusion. myelomalacia at 2 levels, facet arthropathy, spinal and foramenal stenosis, yadda, yadda...
|
|
#4
07-02-2022, 10:12 AM
|
|||
|
|||
|
P 22 seems to say the opposite. it was removed from the policy
__________________
Pre Surgery: C3-C4:Mild disc osteophytes. Mild-moderate right facet arthrosis. Mild right foraminal stenosis. C4-C5:Midline central disc protrusion, significant. Mild canal stenosis. C5-C6:Moderate disc osteophytes. Mild-moderate canal stenosis. Moderate-severe bilateral foraminal stenosis. C6-C-7:Mild-moderate disc osteophytes. Mild canal stenosis. Moderate left and moderate-severe right foraminal stenosis. June 29,2016-3 level M6 (C4-C7) Dr. Clavel Barcelona
|
|
| Bookmarks |
| Thread Tools | |
|
|
Similar Threads
|
||||
| Thread | Thread Starter | Forum | Replies | Last Post |
| Blue Cross Blue Shield ADR Denial finally reversed | ZorroSF | Insurance Hell | 17 | 01-30-2014 07:46 PM |
| Blue Cross Blue Shield {aka Blue Crap} | chasswen | Insurance Hell | 16 | 06-06-2012 05:03 PM |
| Possible Blue Cross Blue Shield of Florida payment? | staci70 | Insurance Hell | 5 | 07-09-2010 02:46 AM |
| Technology Evaluation Center Blue Cross Blue Shield | Abbe | Insurance Hell | 2 | 07-03-2007 07:30 PM |
| Federal Blue Cross Blue Shield | misty | The Big File | 6 | 04-04-2005 11:34 PM |
