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  • mand
    Member
    Post count: 6

    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.

    Donald Corenman, MD, DC
    Moderator
    Post count: 8371

    You are interpreting the studies correctly. Continue with this path and send in the appeal. Good Luck!

    Dr. Corenman

    PLEASE REMEMBER, THIS FORUM IS MEANT TO PROVIDE GENERAL INFORMATION ON SPINE ANATOMY, CONDITIONS AND TREATMENTS. TO GET AN ACCURATE DIAGNOSIS, YOU MUST VISIT A QUALIFIED PROFESSIONAL IN PERSON.
     
    Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.
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