IDET, Nucleoplasty, Biacuplasty

[OffPiste]

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Is anybody who is out there fighting the good fight doing these regularly? How about discography? Do you think these are important procedures to bring to a practice? Are insurers reimbursing for these procedures, and if not how do you go about billing?
Thanks.

 

[brori]

WC (in some states) may approve IDET. Biacuplasty=cash pay for the most part. Lumbar discography gets approved regularly.

 

[ampaphb]

WC (in some states) may approve IDET. Biacuplasty=cash pay for the most part. Lumbar discography gets approved regularly.

... as does cervical

 

[stim4u]

Anthem Blue Cross does not pay for cervical discograms anymore, as this is considered 'experimental' as of this year in my state.

 

[Jcm800]

Anthem Blue Cross does not pay for cervical discograms anymore, as this is considered 'experimental' as of this year in my state.

good to know!

 

[pmrmd]

Anthem Blue Cross does not pay for cervical discograms anymore, as this is considered 'experimental' as of this year in my state.

Anthem is the absolute worst insurance company and i absolutely despise them. so glad i am out of their reach and don't have to deal with them much anymore.

 

[Jcm800]

Anthem is the absolute worst insurance company and i absolutely despise them. so glad i am out of their reach and don't have to deal with them much anymore.

how can one be out of the reach of anthem...they are everywhere, especially in my area. In some cases, they pay less then medicare but yet still deny everything...

 

[Doctodd]

has anyone filed suit against them? It sounds similar to an auto insurance company here in FLA where they routinely deny care for PIP.

 

[C Fiber]

Aetna has deny a cervical discogram too around here. Medicare has been paying ok. Although these procedures come only few and in between.

IDET has rarely ever worked in my experience. So I do not do these for the patients' sake. It is a lot easier to get SCS approved for low back pain. Nucleoplasty works in only very limited patients with single level small disc bulge with radicular pain. Otherwise they don't work too well either.

 

[pmrmd]

how can one be out of the reach of anthem...they are everywhere, especially in my area. In some cases, they pay less then medicare but yet still deny everything...

move out of the midwest and anthem is just a bad memory.

 

[Jcm800]

move out of the midwest and anthem is just a bad memory.

im in the midwest. and they are my biggest carrier...They are Anthem Blue Cross Blueshield out here...

 

[pmrmd]

im in the midwest. and they are my biggest carrier...They are Anthem Blue Cross Blueshield out here...

um, yes, i know, i remember them all too well. like i said--typed?--move out of the midwest and Anthem becomes just a bad memory.

 

[Jcm800]

um, yes, i know, i remember them all too well. like i said--typed?--move out of the midwest and Anthem becomes just a bad memory.

i misread, i thought you said "Move out TO THE midwest, and Anthem..."

gotcha.

well i guess congrats then. They are a pain. i agree.