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iSpine Discuss has anyone won an appeal for lumbar ADR when considered "investigational"? in the Main forums forums; LA Gal i am sorry i have no experience with ADR. I hope someone else on here does and comes ...

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Old 09-05-2013, 05:35 PM
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Join Date: Jun 2010
Location: Sierra Madre, California
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LA Gal i am sorry i have no experience with ADR. I hope someone else on here does and comes forward to help you. I was never a candidate for it do to bad bone density.
However, most of all my 9 spine surgeries have first been denied by Aetna , the way they get turned around is when my surgeon does a peer to peer phone call with their doctor. I don't know if that has been tried in your case.
Just want to wish you good luck. I have also battled Aetna for other issues and eventually won. Just takes a lot out of you sometimes
Judy
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2007 ACDF 4-7
2008 hip , knee scope, hip replacement
2009 thoracic T-5 thru T-11fusion
2009 VATS T7-8, posterior only T11-12. removal of thoracic hard wear
2010 lung surgery
2010 T2-L2 kyphosis correction
2010 Kyphoplasty T-3, T-4
2011 Cervical osteotomy ,revision C4-T5
2011 Foot surgery
2011 Revision fusion T7 thru L4/laminectomy
2012 Hammertoe correction left foot
2012 Revision fusion T-12 thru L5
2012 Revision fusion L4-L5
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