Hello Dr. Corenman. I am currently putting together my appeal work for insurance, citing several scoliosis peer reviewed journals and studies. Several of the research I am finding references “Adjacent Motion Segment Alterations” or “Adjacent-Level Disease”.
My question for you is twofold: 1) Are these a formal diagnosis w/codes? and
2) If my primary diagnosis is IDR below a long 5-level fusion, is it accurate to reference studies that cite the aforementioned conditions as indicators for lumbar fusion?
Thanks and looking forward to April. I’m sorry I had to cancel for Monday but am working hard at getting this appeal in!
p.s. Do you have any students who might want to review my appeal to look for inaccuracies before sending it in that are familiar with revision surgeries and scoliosis? I would ask you but it is quite lengthy. I’m about 95% sure I am interpreting the medical articles correctly, however wouldn’t mind someone looking over it who is more qualified than myself.