Re: post-Essure HSGs
From: Larry Glazerman (l.glazerman@gmail.com)
Sat Jan 31 17:44:43 2009
My understanding is that Adiana will still require HSG.
Sent from my iPhone.
--
Larry R. Glazerman MD
Assistant Professor
Director Minimally Invasive Gyn Surgery
USF College of Medicine
Lglazerman@health.USF.edu
On Jan 31, 2009, at 7:40 PM, Charlie Chambers <ricechaz@me.com> wrote:
> Interestingly, I've heard that it might be likely Adiana, the next
> tubal occlusion system may not require post procedure HSG
>
> ***
> *********************************************************************
> Charlie Chambers
> Hood River, OR USA
> cchamber@alumni.rice.edu
>
> "All good things...come by grace,
> and grace comes by art,
> and art does not come easy."
>
> Norman Maclean
> ***
> **********************************************************************
>
> On Jan 31, 2009, at 3:42 PM, Joanne Bulley, MD wrote:
>
>> So far I have not had a a patient call and complain that it had not
>> been
>> covered.
>>
>> Make sure your radiologist are coding it for confirmation of tubal
>> occlusion and not for infertility -- they should be using a different
>> code. Check with your Essure Rep for the codes ... or read the CPT
>> /and ICD 9 stuff. Your radiologists biller may not have a clue that
>> they are billing it wrong - and call your MD Rep at the insurance
>> company.
>>
>> I know that is a realy PITA as you have to go through the friggin'
>> automated phone tree for many minutes til you might have the luck of
>> talking to a REAL person who is supposed to be your rep.
>>
>> Joanne
>>
>> At Sat, 31 Jan 2009, Hugo D Ribot Jr wrote:
>>>
>>> Hey listers,
>>>
>>> Is anyone having as hard a time as we are in getting reimbursement
>>> for
>>> post-Essure HSGs?
>>>
>>> Our state Medicaid managed care organizations don't seem to cover
>>> it,
>>> even though it's part of the FDA approval for the Essure.
>>>
>>> We keep running into the issue that they and commercial insurers,
>>> especially, think HSG is done for infertility reasons and we keep
>>> getting denials.
>>>
>>> Anyone (especially in Georgia) have any good suggestions?
>>>
>>> --
>>> Hugo D. Ribot Jr., M.D., FACOG
>>> Cartersville, Georgia
>>> Private practice since 1990
>>> 2 MDs/3 CNMs
>>>
>>
>> --
>> Joanne Bulley, MD
>> solo gyn
>> Keene, NH
>
