5 months later...

Mar 04, 2010

I can't remember if it was the end of November 09 or the beginning of December 09, but around that time I found out that my surgery had been denied by the insurance company.  I was so angry!  In the denial letter I did notice the code that the surgeon used.  It was a generic laprascopic bariatric surgery code, I can't remember which one at the moment.  I knew that in 2010 the sleeve was getting an official CPT code, so I emailed the surgeon's office back and told them about the new code and sent them the link to the official 2010 CPT code list on the medicaid website.  At the end of January the surgeon's office emailed me and let me know they were resubmitting with the new code.  At that point I was so discouraged after fighting with the insurance company (I was also arguing with them because they wouldn't pay for the consultation with the bariatric surgeon because it was "non surgical treatment for obesity") I pretty much just thought WHATEVER.  I didn't even respond to the email.  I just didn't think anything would change.  I just put the thought of surgery out of my mind.  

Then, this past Saturday on 2/27/2010 I got a letter from my insurance company saying I was approved.  I was stunned because I had forgotten all about the surgeon resubmitting my claim.  I am happy that I am being given the opportunity to do this and finally move on with my life.   Now I am just waiting to hear back from the surgeon's office so I know what I need to do next. 

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About Me
Indianapolis, IN
Location
25.5
BMI
VSG
Surgery
04/29/2010
Surgery Date
Sep 01, 2009
Member Since

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