Did you have to document diet for a revision?
United Health Care accepted my weigh****chers logs that I faxed to the doctor. I was surprised because they were copies of the little booklets that the group leader wrote in. They did had to cover at least 3 months consecutive months of attendance and I had them for different periods during the 2 year period. No additional documentation was needed.
Documentation differs for every insurance company also it depends why you are having the revision if it is for a medically necessary reason other than insufficient weight loss documentation of diet/weight loss history may not be needed. Good luck on your journey.
Good luck on your new journey.
Documentation differs for every insurance company also it depends why you are having the revision if it is for a medically necessary reason other than insufficient weight loss documentation of diet/weight loss history may not be needed. Good luck on your journey.
Good luck on your new journey.
Change is a Process Not an Event
I have United Healthcare PPO and I have a mechanical failure so the documented diet was not needed.
44238 gastric outlet obstruction is the cpt code that my doctors office used to get me approved.
I wish you well on your journey.
44238 gastric outlet obstruction is the cpt code that my doctors office used to get me approved.
I wish you well on your journey.
Teena Adler
Facebook Contact Info/Email address:Skyedan[email protected]
10/09/09 - Distal Gastric Bypass (ERNY) Revision - Common Channel 90
"Never Let People,Places,Or Things Stand In Your Way Of Fulfilling Your Goals And Living Out Your Dreams." Teena Adler
Facebook Contact Info/Email address:Skyedan[email protected]
10/09/09 - Distal Gastric Bypass (ERNY) Revision - Common Channel 90
"Never Let People,Places,Or Things Stand In Your Way Of Fulfilling Your Goals And Living Out Your Dreams." Teena Adler
Thanks, everyone. BCBS in NJ has the diet listed on their approval form, so the Nurse is telling me they are going to require it. I can't get a straight answer from BCBS because the people who answer the phones are, well, not all there. They told me WLS in general isn't covered and I know it is.
I don't have an obstruction, but the gastric band causes me to vomit when I don't eat soft food. I have evidence of reflux (wild, considering there's no stomach acid due to the rny) from the regurgitation. I'm hoping they'll approve it based on that, but we'll see. *sigh*
I don't have an obstruction, but the gastric band causes me to vomit when I don't eat soft food. I have evidence of reflux (wild, considering there's no stomach acid due to the rny) from the regurgitation. I'm hoping they'll approve it based on that, but we'll see. *sigh*