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Insurance Issues Discuss Blue Cross Denied Fusion - Help Needed in the Main forums forums; I was set for a 2 level bi-lateral decompression and fusion of L1,2 and L2,3 plus laminectomy ...

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Old 07-05-2010, 12:19 AM
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Join Date: Feb 2010
Posts: 4
Default Blue Cross Denied Fusion - Help Needed

I was set for a 2 level bi-lateral decompression and fusion of L1,2 and L2,3 plus laminectomy of L3 and L4, but the evening before surgery was notified by my doctors office that Anthem Blue Cross of CA had denied coverage. I have just lost my last appeal. "Not medically necessary" because there in no clear indication of "spinal instability". 24/7 severe pain from L1,2 and L2,3, bone on bone.

I am still trying to fight this, but I need to find other people that Blue Cross has approved for fusion that either had no documented spinal instability or severe pain alone was reason for approval of fusion. Please respond to forum. I would really appreciate anyone who has been approved by blue Cross for fusion feedback. Thanks.
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