Community Owner Rattler Posted December 14, 2023 Community Owner Share Posted December 14, 2023 You need a neurosurgeon that is a community care doc. If they are the community care list you will be denied. Why did they deny it? You can try this link to search for one in your area https://www.va.gov/find-locations/ Link to comment Share on other sites More sharing options...
Tijeras Posted December 14, 2023 Author Share Posted December 14, 2023 The CPT code for the Focused Ultrasound treatment is 0398T. The descriptor is Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when performed. When speaking with your insurance provider, offering both the CPT code along with the treatment descriptor will be helpful to them. Link to comment Share on other sites More sharing options...
Tijeras Posted December 14, 2023 Author Share Posted December 14, 2023 Thanks, I'll check that out. I wasn't told why it was denied and the VA neurologist didn't say. I'm planning to use my other health insurance to have it done in January. I can update if anyone is interested. Dustoff1970 1 Link to comment Share on other sites More sharing options...
Dustoff1970 Posted December 15, 2023 Share Posted December 15, 2023 Thank you as I am very interested in your medical results. Link to comment Share on other sites More sharing options...
Tijeras Posted February 4 Author Share Posted February 4 Good news, approved for treatment through the VA at Barrow Institute in Phoenix. Meanwhile had the procedure done in California and it was very successful. Went off Primidone totally. The claustrophobia was manageable and can write and eat again with no problems. MemorialCare Orange Coast Medical Center Erin Manker Neuroscience Navigator Email Address Redacted 714.861.4835 Fax 714.861.4831 Link to comment Share on other sites More sharing options...
Dustoff1970 Posted February 5 Share Posted February 5 16 hours ago, Tijeras said: Good news, approved for treatment through the VA at Barrow Institute in Phoenix. Meanwhile had the procedure done in California and it was very successful. Went off Primidone totally. The claustrophobia was manageable and can write and eat again with no problems. MemorialCare Orange Coast Medical Center Erin Manker Neuroscience Navigator Email Address Redacted 714.861.4835 Fax 714.861.4831 Thanks for that info and congratulations. My ETs are minor for now so I will stay on Primidone until they get worse, then will consider your other treatment option. Link to comment Share on other sites More sharing options...
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