My insurance has denied not only the ADR (Lumbar) now per letter I rec today sounds like the have denied the whole surgery
(Sched for fusion L5-S1 and ADR L3-4)
This is only my second post,so Sorry if I am doing anything wrong.
My surgeon Phys Assistant placed call Monday 7/20 to do a Peer to Peer Review with Ins Col. and she hasn't rec. a call back
I have initiated a patient appeal but have not received any call or letter etc.........
I can't stop Crying.I am so deeply upset I don't know what to do.
I think I finally find someone to say I meet prtocol for surgery and now this
I have been on this road since appro 1999 when I had 1 Lumbar herniation/DDD
Now have 3 herniations grade -5 annular tears with leakage of ontrast material per discogram at 3 levels....
I have grinned and beared it for the last 10 yrs have done Chiro,PT,pain meds,muscle relaxers.Epidural steroid injections x 5
I have LBP and bilat leg radiculopathy
I cannot sit I cannot walk too much I have been out of work since 6/2
Is there a chance that my surgeon office can change my inurance comp's mind? before surg which is in 2 wks from now
Any help/advise appreciated