Guest guest Posted November 13, 2001 Report Share Posted November 13, 2001 In a message dated 11/13/01 6:43:39 PM Eastern Standard Time, duodenalswitch writes: << Message: 6 Date: Tue, 13 Nov 2001 16:50:51 EST From: thelecomte3@... Subject: Denied Hello all. Oh a sad pre-op I am today. I spoke to the insurance company(Medical Mutual of Ohio) and they said t that Dr Hess's code for bariatric surgery 43847 was not covered as it is experimentle. All three other codes excepted 43633,44130,47600. Guess i am on my way to the other list (not rny) the deniel list. I wrote to Dr Oakley asking him to comfort me with his wisdom as I do not know the next step here. I hope it is just a temporary snag, i can not believe the emotions one goes through trying to obtain this surgery. thanks for listening Polly >> This confuses me because I got approval for Gastric Bypass 43847 and 43633 approved, but 47600 and 44130 denied. Same company. Same surgeon. I wonder what gives here? Yesterday I talked to a lady at the ins company and asked her if they are going to deny me after I get surgery (since the letter with approval is so non-committal anyway) and she assured me that since it had been reviewed by a medical review board, it would be paid. Maybe you should ask them why it was denied? maybe they just want more information. I had to give them my medical history and my diet history. Did you do those things? Carole Quote Link to comment Share on other sites More sharing options...
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