Medicare Reimbursement for PN Surgeries
Posted: Sun Feb 04, 2024 11:21 pm
Hi,
Back in 2012 - 2014, when I was having repeated radical surgeries, insurance companies considered most PN surgeries were considered experimental and not covered.
I paid $15k out of pocket to have the perineal branch of my pudendal nerve cut. I can't do anything like that again.
But I'm looking at the potential of losing my private disability insurance and I HAVE TO do SOMETHING!
Unfortunately I now have Kaiser Senior Advantage Plus, which, I think, really limits who I can see. Anyone know Kaiser doctors who treat PN?
The bigger question is, what procedures now have Medicare reimbursement codes? Do any of the decompression surgeries now get reimbursed by ANY insurance company?
If I lose that private coverage, I can argue it's a Major Life Event, and Medicare will probably let me switch plans.
I already participated in the first DRG stimulator clinical trial. I've looked at clinicaltrials.gov and not found any Activity Recruiting trials I qualify for - yet.
I did fid a few codes here. Surely this can't be all...
https://www.cms.gov/medicare-coverage-d ... Option=all
Back in 2012 - 2014, when I was having repeated radical surgeries, insurance companies considered most PN surgeries were considered experimental and not covered.
I paid $15k out of pocket to have the perineal branch of my pudendal nerve cut. I can't do anything like that again.
But I'm looking at the potential of losing my private disability insurance and I HAVE TO do SOMETHING!
Unfortunately I now have Kaiser Senior Advantage Plus, which, I think, really limits who I can see. Anyone know Kaiser doctors who treat PN?
The bigger question is, what procedures now have Medicare reimbursement codes? Do any of the decompression surgeries now get reimbursed by ANY insurance company?
If I lose that private coverage, I can argue it's a Major Life Event, and Medicare will probably let me switch plans.
I already participated in the first DRG stimulator clinical trial. I've looked at clinicaltrials.gov and not found any Activity Recruiting trials I qualify for - yet.
I did fid a few codes here. Surely this can't be all...
https://www.cms.gov/medicare-coverage-d ... Option=all