| Insurance Coverage Data from Dr. Eaton |
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02/24/2005 23:52
Steve Abramsnot registered
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02/24/2005 23:52
Steve Abramsnot registered
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Insurance Coverage Data from Dr. Eaton
My insurance company declined coverage for NA I had in late January. What is the experience with insurance coverage of others who have had NA either in the US or France?
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02/24/2005 23:58
George Barbarownot registered
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02/24/2005 23:58
George Barbarownot registered
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Insurance Coverage Data from Dr. Eaton
Is this covered by insurance? Yes.
What do I need to tell my insurance company? Your insurance company will want to know the insurance codes for your
Diagnosis: ICD Code 728.6 (Dupuytren's)
and your
Procedure: CPT Code 26040 (Percutaneous Fasciotomy - one finger)
Under very unusual circumstances, the procedure may possibly also include CPT 26060 Tenotomy (for boutonniere deformity) or 26525 Capsulotomy (for severe PIP joint contracture).
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02/25/2005 23:49
JERRY 
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02/25/2005 23:49
JERRY
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Insurance Coverage
Steve,
I suggest you file a complaint with your insurance Co. Would they have rather paid hundreds of dollars for a traditional surgical procedure?
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