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IVIG Procedure and Diagnosis Codes


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#1 mopsygirl

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Posted 06 April 2011 - 03:45 PM

Does anyone have experience with getting these for insurance purposes? Did they cover the IVIG treatments?

Thanks in advance!

#2 janey

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Posted 06 April 2011 - 08:33 PM

mopsygirl,
My insurance company covers my IVIg treatments. I don't know the code, but originally they used my diagnosis of polymyositis. Now I think they use mixed connective tissue disease since it is helping both my poly and scleroderma. Hope this helps.
Janey Willis
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#3 mopsygirl

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Posted 07 April 2011 - 01:15 PM

Hi Janey,

Was it difficult to get them to approve it? How long did it take to get it approved from the time your doctor ordered it until the time you began treatment?

#4 Jeannie McClelland

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Posted 07 April 2011 - 01:56 PM

Hi Mopsy,

The only experience I've had with getting diagnostic codes was finding the ones that got my insurance company to pay for specialised field of vision tests for macular degeneration. I found them with a web search, gave them to the billing people in the ophthalmologist's office and hey presto, the insurance company stumped up the money. I'd think knowing the diagnostic and procedure codes would possibly be helpful in getting a pre-approval via a doctor's office, but I think you would have to go via the doctor, not directly to the insurance company.

Good luck and best wishes,
Jeannie McClelland
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