Posted 8/1/2008 11:03 PM (GMT -6)
I did check on the procedure code with my insurance company. I looked up the code & it was correct.
My doc's office wasn't terribly helpful. They just said they couldn't do any more & needed payment from me. I took care of it, but still it was a hundred some dollars that I really don't have. I know they get as aggravated and I do with all these stupid, ever-devolving rules that the insurance companies make up based on research which was probably done by some guy out of his van down by the river https://www.healingwell.com/community/emoticons/tongue.gif so I try not to press them too hard when it comes to insurance rules.
Normally my doc's pretty cool about these things & if he knows it's gonna be denied he comps it, so I was kinda surprised when I found out it wasn't covered. My insurer randomly changes the number of facet injections allowed at an office visit, regardless of the medical necessity. My doctor thinks that's bad practice, so he keeps giving me the same number of shots & only bills me for the number I'm "allowed" to get covered at the time. Usually that amounts to a few hundred up to a few thousand dollars per visit. Because of that, I don't want to "rock the boat" with him too much, but if I can get this covered on my own all the better.
Let me know if you have any better luck getting yours paid for. Sometimes I've been able to "trick" the evil insurance gremlins https://www.healingwell.com/community/emoticons/devil.gif into covering something by referencing other companies who cover it.
hee. hee. hee. (jk, I don't really have an evil laugh like that) :)