Guest guest Posted July 7, 2004 Report Share Posted July 7, 2004 As I understand the whole " coding " deal, when a procedure is submitted it has a numbered code. If the Resurf is submitted as a miscelaneous (or mutant/experimental) procedure, it's not handled by with the same scrutiny as an accepted procedure. I talked to Chuck about it at JRI, and they always submitted it as a tip replacement with an experimental device. It was disclosed from day one. It's just a way of using a different door to enter the approval/refusal process. It is, in fact, a hip joint replacement. And if the device is disclosed, where is the deception? Mine was handled that way, and I assure you that I feel no fear of cosmic payback. My hip joint was replaced with a C+, and AETNA knew what device Dr. Amstutz would use before he even scheduled me. While I understand your apprehension to invoke Karma, I would encourage you to understand that the reputable surgeons performing the resurfs are not likely to use skullduggery to dupe insurance monsters. I could be wrong. Maybe a Doctor could elaborate. But I will tell you that I did have the chance to sit and talk with Chuck, and (if my poor feeble memory serves correctly) the above was the basic jist. And besides...people with bad hips shouldn't ride on high horses.....(sorry, I couldn't resist). OK, Alan and , I'll take my ass whoopin' like a man now. C+ 4-15-04 Quote Link to comment Share on other sites More sharing options...
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