HOLY SPIT! Insurance approved my abdominoplasty!!!!!

Lori G.
on 12/23/09 8:22 am - CA
Aloha All-
I got quite the Christmas present today when the surgeon's office called and said I'd been approved for my abdominoplasty. I'm the one who was debating on whether to proceed with my Circumferential Body Lift ( + BL/BA ) or decide on a frontal tummy tuck/muscle tightening because of the higher complication rate associated with the CBL. The third surgeon I consulted with does not do the CBL, but she submitted my photos and claim...and I was approved using CPT codes 15830 and 15847 ( 15830 is for a panniculectomy and 15847 is for cosmetic abdminoplasty).
So now I have to see what amount  will be covered if I do the first (out of network)  surgeon's CBL/BL/BA. It might still only be a small amount relative to the entire cost... but anything would make me feel better! Note that the first surgeon who does the CBL said he doesn't bother to submit claims unless your pannus hangs below your pubis because they always deny....but still the third surgeon felt it was worth submitting.
Marry Christmas to all, and to all a good shape!
XOXOLori

Bonamy
on 12/23/09 8:29 am - Wyoming County, NY
Congratulations!  I am very happy for you!  Can't wait to see the results.

                     
 HW 365/SW321                                                        Walk or Run 200 miles in 2010 
 

    
Lori G.
on 12/24/09 5:35 am - CA
Many thanks B- me neither! XOXOLori

Jennifer Q.
on 12/23/09 8:59 am - Newton, NJ
Merry Christmas to YOU!! That is so excellent!!


SW 241.6/ CW 138.8/ GW 140
    At Goal 12/11/2009          
Lori G.
on 12/24/09 5:35 am - CA
Merry Christmas back to you, Jen- and congrats on goal! XOXOLori

Leah H.
on 12/23/09 11:06 am - TX
THat is amazing! CONGRATS


Extended Tummy Tuck & Breast Lift W/Dr. Sauceda 12/30/2009

Lori G.
on 12/24/09 5:36 am - CA
Hi Leah- yes I was so stunned ( wish they'd paid for my VSG, I am still in appeals). Carry on- goal is around the corner! XOLori

TammyGirl1
on 12/23/09 11:55 am - Oakley, CA
What an amazing Xmas present!! I am sooo happy for you.
Tammy
TT, BL/BA, Lipo, FG/Booty, and small TLcompleted with DR Sauceda
SW 201 / GW 134 / LW 129 / CW 137.6
http://tammygirlsjourney.blogspot.com/

    
Lori G.
on 12/24/09 5:37 am - CA
Read your PS blog, Tammy- super big congrats and you are making this look EASY! See you at group sometime! XOLori

TammyGirl1
on 12/24/09 8:10 am - Oakley, CA
Oh boy...it wasn't easy but....it did get easier each day :-)
TT, BL/BA, Lipo, FG/Booty, and small TLcompleted with DR Sauceda
SW 201 / GW 134 / LW 129 / CW 137.6
http://tammygirlsjourney.blogspot.com/

    
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