Re: Is brachy considered a type of plagio?

[Guest guest]

As the poster above indicated, insurance companies are much more likely to cover

plagiocephaly than brachycephaly. (I gather than asymmetry is a more serious

medical issue than just a flat head.) So my insurance-knowledgeable doctor

focused on our daughter's low-moderate plagio when she wrote up the medical

records to provide to the insurance company, even though our daughter's primary

problem was brachy. Assuming that your son has some plagio (most brachy

patients do, though not all), you should have the doctor focus on that, and code

the requests appropriately.

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> Hi all,

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> My insurance company denied our claim for our son's helmet, and I am writing

my appeal letter right now (what a fun Friday night!). I'm stumbling a bit on

my wording because I'm not sure if brachycephaly is technically considered a

type of plagiocephaly, or are they separate terms all together. Some

definitions of plagiocephaly that I've seen include brachycephaly as a type of

plagio, but not all do this. Thank you!

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[Guest guest]

Sorry, but I don't have a good answer. Plagio is used more generally, but it

does actually mean a certain type of asymmetry, which doesn't include brachy. So

sometime it is used to generally mean misshapen head, and other times it seems

to refer to the specific shape. I'm not sure how your insurance company will

view it. Maybe something more generic like " flat head syndrome " will work.

-christine

sydney, 4 yrs, starband grad

>

> Hi all,

>

> My insurance company denied our claim for our son's helmet, and I am writing

my appeal letter right now (what a fun Friday night!). I'm stumbling a bit on

my wording because I'm not sure if brachycephaly is technically considered a

type of plagiocephaly, or are they separate terms all together. Some

definitions of plagiocephaly that I've seen include brachycephaly as a type of

plagio, but not all do this. Thank you!

>

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