Djmohr
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Well good news! I appealed that $2300.00 charge for my 18 month nutritional panel and I got a call from the insurance company today. They said they would review it if I got the doctor to change the coding from bariatric follow up to a routine lab code. So, I called my PCP today who I sent a letter to explaining their screw up and she promptly changed the coding for me. Lets hope now that the insurance company does what they are supposed to. I have already paid the 2300.00 bill and would love to get that money back. It is money I simply dont have to spend on lab work. Cross your fingers.....
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Switch2lose - It was for routine nutritional panel post op 18 months. Which by the way needs to be done at 3,6,12,18 and then every 12 months for the rest of your life. My doc coded it as labs following bariatric surgery and because the word bariatric was in the coding my insurance automatically rejected the claim! The charge was for one set of labs (13 viles of blood). First off it is preposterous that labs could cost so much! When I told my PCP about it she was appalled as well. Given it is a lifetime requirement it is important that your PCP know how to code it properly as routine and not bariatric. $2300.00 is a lot of money for blood work only.
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