I am 55 years old and I had lumbar fusion L5/S1 and then a few months later, my arm went dead and I had another fusion at C4-C6 (bad stretch of luck). The neck is doing fine, but my lumbar fusion fixed the pain there, but - a common occurance - it moved down to my SI joint. I have been suffering for 10 years and I feel I have to get the SI fusion, since it is raking me over the coals everyday and causing increasingly severe mental strain (I work at the office for 2 1/2 hours a day, but I am in a bad place when I drive out of there, slightly hyperventalating, can't wait to get home, etc.
I got a couple of cortizone injections in the SI joint. I had blessed relief that lasted 24 hours each time. I was told that this makes me an excellent candidate for minimally invasive SI joint fusion. My question is very important: are insurers paying for this procedure now? I have Aetna insurance, I know there is a new CPT code for SI joint fusion last year; does that mean it is covered? Someone posted that the procedure is going to covered starting in February (now).
Let me know if the procedure is, in fact covered, or if not, are there any qualified doctors that charge a reasonable out-of-network fee?
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Liz, Spine-health Moderator