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| 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. |
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#11
02-22-2013, 12:46 AM
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Yes, I am wondering the same thing. So that was a good question. Maybe Buckeye knows.?
Yes, I did watch sicko and it made me want to leave the country. My husband already called HR about it. They just thought maybe i should submit more deailed info and get it approved. So frustrating. I also called metronic for help on my appeal and they said they couldn't help me. That was said because in US it is only apporoved for one level and she said I'm not suppose to have any curative in my spine either. Your cervical can't have curvature for Bryan either. So what other ADR my work for me?
__________________
disc bulges C 4-5 and C 5-6 EMG evidence nerve root blockage at C6, C8 and L5 Cogential moderate-severe cervical/lumbar stenosis Cervical compression with clinical myelopathy with Hoffman's Tests; MRI's, EMG/NC studies, discogram, CT scan Pain management; tens unit, ice and heat, physical therapy, chiropratic care, and spinal epidural treatments. Blue Cross / Blue Shield of Ohio external third party approved Pro-C ADR at C 5-6 on 4/3/13 
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#12
02-22-2013, 09:18 AM
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Only if the disc is causing the pinching. If other structures are involved (ie facets, bone spurs, scar tissue) then just removing the damaged disc and replacing it with an ADR may not be enough to resolve all the pain. Know exactly if any stenosis is being caused separate from the disc issue.
~Buckeyeback
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2009: L3-4, L4-5 failed Microdiscectomy and "Accurascope" procedures 2010-2011: Multiple ESI's, Spinal Decompression Therapy Nov 7th 2012: 2 Level (L3/4, L4/5) M6L with Dr. Clavel in Barcelona, Spain July 17th 2013: L4/5 bone spur removal with Dr. Clavel April 2019: L5/S1 Microdiscectomy/Foraminotomy
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#13
02-23-2013, 10:28 PM
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Buckeyeback , so during ADR surgery they ONLY go in and replace the discs. Thank you for the info. I will ask my surgeon those questions.
__________________
disc bulges C 4-5 and C 5-6 EMG evidence nerve root blockage at C6, C8 and L5 Cogential moderate-severe cervical/lumbar stenosis Cervical compression with clinical myelopathy with Hoffman's Tests; MRI's, EMG/NC studies, discogram, CT scan Pain management; tens unit, ice and heat, physical therapy, chiropratic care, and spinal epidural treatments. Blue Cross / Blue Shield of Ohio external third party approved Pro-C ADR at C 5-6 on 4/3/13
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#14
02-23-2013, 10:57 PM
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Exactly. Surgeons can do very little through the front of the spine to decompress neural elements.
~Buckeyeback
__________________
2009: L3-4, L4-5 failed Microdiscectomy and "Accurascope" procedures 2010-2011: Multiple ESI's, Spinal Decompression Therapy Nov 7th 2012: 2 Level (L3/4, L4/5) M6L with Dr. Clavel in Barcelona, Spain July 17th 2013: L4/5 bone spur removal with Dr. Clavel April 2019: L5/S1 Microdiscectomy/Foraminotomy
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#15
02-23-2013, 11:01 PM
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Quote:
Like I said, you can try Egosuce. It might straighten out your curvature. It did that for me. You might spend six months doing it, then go back for a new MRI/X-Ray.
__________________
Multiple traumas to spine starting age 13. 1st American to have 6 ADR's in one surgery. C3-4 - C/7, & L5-S1 - L3-4. Surgery w/ Dr. Clavel, 3/18/13, M6. Before surgery: severe spinal stenosis C5/C6 (cord "flattened" per stateside doc), + for Hoffman's & Babinsky's. At time of surgery: 5 yrs MAX before ending up in wheelchair. Clavel found L5-S1 partially fused. Had to cut it apart to put in M6. Please excuse brevity - SEVERE carpel tunnel.
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#16
02-23-2013, 11:03 PM
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Quote:
__________________
Multiple traumas to spine starting age 13. 1st American to have 6 ADR's in one surgery. C3-4 - C/7, & L5-S1 - L3-4. Surgery w/ Dr. Clavel, 3/18/13, M6. Before surgery: severe spinal stenosis C5/C6 (cord "flattened" per stateside doc), + for Hoffman's & Babinsky's. At time of surgery: 5 yrs MAX before ending up in wheelchair. Clavel found L5-S1 partially fused. Had to cut it apart to put in M6. Please excuse brevity - SEVERE carpel tunnel.
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#17
04-14-2013, 09:57 AM
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Hey everyone,
I am going for the ADR C 5-6 on April 23 ! I hope all goes well and I made the right choice! Tammi
__________________
disc bulges C 4-5 and C 5-6 EMG evidence nerve root blockage at C6, C8 and L5 Cogential moderate-severe cervical/lumbar stenosis Cervical compression with clinical myelopathy with Hoffman's Tests; MRI's, EMG/NC studies, discogram, CT scan Pain management; tens unit, ice and heat, physical therapy, chiropratic care, and spinal epidural treatments. Blue Cross / Blue Shield of Ohio external third party approved Pro-C ADR at C 5-6 on 4/3/13
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#18
04-14-2013, 11:37 PM
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Good luck Tammi. I know you're going to do great!
__________________
C4/5 - ACDF in 2000 C5/6 - ACDF in 2002 C3/4 & C6/7 - M6 ADR, Nov 2009, Barcelona Conceded defeat to a manifestly disingenuous BCBS-TX in my quest for reimbursement, Jan 2011
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#19
04-15-2013, 09:32 PM
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Good luck Tammi!! My thoughts and prayers go out to you!!
Gene
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Car Accident 2002 - Small Herniated Disc C3/C4 1998 Larger Herniation and Cervical Fusion C3/C4 2005 Herniation C4/C5 - 40 epidural steroid injections from Oct 2005, - Oct, 2007 2008 - Foraminotomy at C6/C7 on left side Feb, 2010 - Cervical Fusion C4/C5 Dec, 2010 - Lumbar Fusion L3/L5 2013 - Bulge on C5/C6; herniation C6/C7 right side Mar 26, 2013 - Foraminotomy at C6/C7 on right side May 5, 2015 - ADR with Dr Blumenthal of TBI for C5/C6 using Mobi-C
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#20
04-16-2013, 09:30 PM
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Gene,
Can't wait my surgery to be over. My back is so painful. I didn't even realize my tooth hurt and I needed a root canal today! I hope I made the right decision! Thanks for the good thoughts and prayers! Tammi
__________________
disc bulges C 4-5 and C 5-6 EMG evidence nerve root blockage at C6, C8 and L5 Cogential moderate-severe cervical/lumbar stenosis Cervical compression with clinical myelopathy with Hoffman's Tests; MRI's, EMG/NC studies, discogram, CT scan Pain management; tens unit, ice and heat, physical therapy, chiropratic care, and spinal epidural treatments. Blue Cross / Blue Shield of Ohio external third party approved Pro-C ADR at C 5-6 on 4/3/13
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