Welcome, Guest. Please Login or Register
Moyamoya.com
 
NEW search box below... Search Moyamoya.com with Google!
  HomeHelpSearchLoginRegisterEvent CalendarBirthday ListDonate  
 





Page Index Toggle Pages: 1
Send Topic Print
Angio is scheduled - and a question. (Read 5691 times)
Greg-NJ1
Experienced Poster
***
Offline


Mis-diagnosed with MM
in 2005, arterial restricion

Posts: 248
Teaneck, NJ
Gender: male
Angio is scheduled - and a question.
Jun 6th, 2007 at 12:53pm
 
All,

Just a quick update. My cerebral angio is finally scheduled for 8:00 am on June 19th at JFK Meidcal Center in NJ. I just requested that the doctors staff request the precertification (although we are told it is not necessary due to being out patient procedure, but I'd rather have it in writing to save on the bills later). Pretesting (bloodwork and x-rays) are scheduled for June 12th.

Now I just need to figure out how to get back and forth to the hospital as Olga does not drive (and at 35 miles from home would be two very expensive taxi rides).

A quick question, have any of you had an angio while taking Plavix or blood thinners? Or did you stop taking before the procedure.

Counting the days until the 19th.
Greg
Back to top
  

I was misdiagnosed with MM in March of 2005. In January 2006, I was told it is not MM, but rather a massive restriction in the MC1 segment of my left carotid artery.
 
IP Logged
 
tuknits
Junior Poster
**
Offline



Posts: 67
Batavia, IL
Gender: female
Re: Angio is scheduled - and a question.
Reply #1 - Jun 6th, 2007 at 2:15pm
 
Greg,
Glad to hear that your angio is scheduled.  Hopefully it will give your docs the info they need.

As for the blood thinners, I would really recommend that you contact the doctor who will be doing the procedure.  Sometimes they want you off of all meds a few days prior and other times, they allow you to continue.  I think they usually try to consider your underlying condition and the dosage before they decide the risks associated with continuing/discontinuing any meds.

Take Care,
Tracey
Back to top
  

The best and most beautiful things in the world cannot be seen or even touched. They must be felt within the heart. - Helen Keller&&
 
IP Logged
 
STrantas
MM.com Benefactor
***
Offline


MoyaMoya Survivor Since
2003

Posts: 1154
Philadelphia, USA, usa, 490, 122, PA, Pennsylvania
Gender: female
Re: Angio is scheduled - and a question.
Reply #2 - Jun 7th, 2007 at 9:42am
 
Greg -

Tracey gave you good advise.  I think I stopped my aspirin before my angio's (they are tapping a major artory in your groin, would need to be able to control bleeding - which is why you have to hold your leg straight for a few hours afterwards).   But best to speak with the doc who will be performing the procedure.

And by the way - your leg will be weak after the angio.  Definitely can't drive!

Good luck!

-Shari
Back to top
  

A smile is contagious...start an epidemic!
Dr. Scott did my surgeries - 12/29/03 and 1/5/04
STrantas http://www.facebook.com/home.php?#!/strantas?ref=p STrantas  
IP Logged
 
lotsofkids
MM.com Benefactor
***
Offline


Moyamoya...Oh boya boya!

Posts: 333
Akron, USA, usa, 421, 123, OH, Ohio
Gender: female
Re: Angio is scheduled - and a question.
Reply #3 - Jun 7th, 2007 at 9:59am
 
yep....great question...but do ask the doc!

Hope it goes well.....and READS well too!

let us know.....and hang in there : )

Diane

definately....get something in writing! The angio can cost between $25K to $30K. Not worth fighting "after" the fact. And we know that I just went through an Insurance nightmare! It is very stressful...to say the least.     GET YOUR PRECERT IN WRITING!
Back to top
« Last Edit: Jun 7th, 2007 at 10:03am by lotsofkids »  

Hmmm....seems I'm kinda "special" LOL
 
IP Logged
 
Greg-NJ1
Experienced Poster
***
Offline


Mis-diagnosed with MM
in 2005, arterial restricion

Posts: 248
Teaneck, NJ
Gender: male
Re: Angio is scheduled - and a question.
Reply #4 - Jun 7th, 2007 at 10:29am
 
Diane,

Good point.....congrats again...interesting thing is that both the hospital and doctor is in network...my insurance claims that outpatient proceedures do not need a precert....

I can't wait to see how this one unfolds.....all that I do know is that I can't wait until the 19th gets here.

Greg
Back to top
  

I was misdiagnosed with MM in March of 2005. In January 2006, I was told it is not MM, but rather a massive restriction in the MC1 segment of my left carotid artery.
 
IP Logged
 
lotsofkids
MM.com Benefactor
***
Offline


Moyamoya...Oh boya boya!

Posts: 333
Akron, USA, usa, 421, 123, OH, Ohio
Gender: female
Re: Angio is scheduled - and a question.
Reply #5 - Jun 8th, 2007 at 4:45pm
 
We are definately pulling for YA!

Ok.....angio on the 19th.....so we should be hearing something by the 20th....right????

Of course...I know....you need the followup with the doc and the angio report to be written up...etc....and all that takes too much time. But do let us know ASAP that all is well!

Make sure you get a copy of the report for your personal files.

smiles....Diane : )
Back to top
  

Hmmm....seems I'm kinda "special" LOL
 
IP Logged
 
Seachelles
Old-Time Poster
*****
Offline


God never gives us more
than we can handle.

Posts: 681
Fredericksburg, USA, usa, 474, 157, VA, Virginia
Gender: female
Re: Angio is scheduled - and a question.
Reply #6 - Jun 8th, 2007 at 8:36pm
 
Good advice, Diane.  You definitely want to get a copy of the angiograms for your files, Greg.  I'm assuming that they can put it on disc.  They were able to do that with my MRI/MRA's so I would think they can do it with the angiograms. 

Michelle
Back to top
  

Michelle
Chelles4U Chelles4U  
IP Logged
 
SweetEmily
Ex Member


Re: Angio is scheduled - and a question.
Reply #7 - Jun 8th, 2007 at 9:54pm
 
My four year old daughter had an angio while on Lovenox. She had to lay flat for four hours afterward - which of course wasn't an easy task for a four year old.
Lori
Back to top
  
 
IP Logged
 
Greg-NJ1
Experienced Poster
***
Offline


Mis-diagnosed with MM
in 2005, arterial restricion

Posts: 248
Teaneck, NJ
Gender: male
Re: Angio is scheduled - and a question.
Reply #8 - Jun 11th, 2007 at 8:02pm
 
Well, insurance company verified....no precertification is necessasry for outpatient procedures in-network (both dr and hospital are in network)...inquired about prcedure....will only be covered if deemed medically necessary....I may be confused, but if the procedure does not need a precertification because it is an outpatient procedure...shouldn't it be covered no matter what...

Lore, any insights?????

Anyway, everything is confirmed for the 19th. Tomorrow afternoon I go for the prep work (blood and x-rays). Then the terrble 1 week wait begins. (I can't wait to have this one behind me...more info is better).

The good news is that Olga's car pool driver said he would drop us off at the hospital...and a good friend will be picking us up when I am released....at least one problem solved.

Doctors also told me to stay on Plavix. Indicated it would just take "a bit longer" for femeral artery to start "healing".

Wish me luck (especially with the lack of need for a precertification and latter billing issue).

Greg
Back to top
  

I was misdiagnosed with MM in March of 2005. In January 2006, I was told it is not MM, but rather a massive restriction in the MC1 segment of my left carotid artery.
 
IP Logged
 
Lore
MM.com Benefactor
***
Offline


My brother Kevin (Cubbie)
has Moyamoya

Posts: 819
Delaware, USA, usa, 419, 133, OH, Ohio
Gender: female
Re: Angio is scheduled - and a question.
Reply #9 - Jun 11th, 2007 at 8:52pm
 
Hi Greg,

The angio, in your case, is medically necessary....period. Docs don't do angios for the heck of it.  There has to be a reason and the reason is...... you have this thing called an occluded artery, you are at risk for a stroke and you may very well have moyamoya. There is no question, in your case, the angio is medically necessary.

I have seen angios denied because the incorrect  diagnosis or CPT code was used but that is an easy fix. The claim simply has to be re-filed using the correct codes. I have seen only one angio denied because of medical necessity and that decision was overturned on appeal. So you see, it is rare for an angio to be denied.

Sometimes, the only reason there is outpatient certification is to "track" certain procedures or to avoid unecessary procedures based on evidence based medicine. An angio is not, in your case, medically unnecessary.  I seriously doubt you will have any problems with the insurance covering your medically necessary angio.  If by some slim chance you do, there is an appeal process in place and without question your doc can support the medical necessity.  In your case, I would not be concerned with the medical necessity of you having an angio.   

Glad to hear you got a ride to and from the hospital and I'm glad to hear Olga is going to be with you.

I know the waiting is the toughest and sometimes feels like it is forever but know that by having the angio you will have better knowledge of your particular situation and hopefully a firm diagnosis.

You and Olga will be in my thoughts.

Keep us posted and let us know the outcome.

Hugs,

Lore

Back to top
  

"What lies behind us and what lies before us are tiny matters compared to what lies within us." - Ralph Waldo Emerson
 
IP Logged
 
lotsofkids
MM.com Benefactor
***
Offline


Moyamoya...Oh boya boya!

Posts: 333
Akron, USA, usa, 421, 123, OH, Ohio
Gender: female
Re: Angio is scheduled - and a question.
Reply #10 - Jun 13th, 2007 at 2:06am
 
Hey there Greg....glad everything is falling into place.

Lore is the expert.....so I am glad she popped in....she was a great help with my appeal process behind the scenes (thanks again Lore)

Also, like Seachelles....I had them burn a cd copy of my angio for me..... you should request it before you even start the procedure....just let them know you want a personal copy. Then later when the radiologist writes his report (a few days after) then you can ask for a copy of that written report too. This will be very helpful if you need to see other doctors in the future. It is also kinda cool to see the cd on your personal computer and look at your OWN brain! LOL (makes great computer wallpaper....just kidding)

Anyhow.....we'll all be thinking of you......do relax and hopefully it'll go smooth and quickly for you.

smiles....Diane
Back to top
  

Hmmm....seems I'm kinda "special" LOL
 
IP Logged
 
Greg-NJ1
Experienced Poster
***
Offline


Mis-diagnosed with MM
in 2005, arterial restricion

Posts: 248
Teaneck, NJ
Gender: male
Re: Angio is scheduled - and a question.
Reply #11 - Jun 13th, 2007 at 1:04pm
 
Hi all,

Was at the hospital yesterday afternoon for all of the wonderful prep work (a.k.a blood work). Everything is a go. While I was there  I signed the paper work to have several copies of the procedure to be burnt to CD (one for me, one my docs in NYC (even signed the release form for the one being shipped to NYC).

Diana, I am there with you....I have my angio on CD from early 2006. My screen saver at home is several images of my "issue zone" intermitently intrupted with various phrases such as:

- what doesn't kill me will make me stronger
- If you are watching this....then today is good a day
- I will conqure this
- and my favorite (a qoute from one of my doctors...with a minor additon of my own)...Don't think of it as brain surgery, its more like plumbing surgery....I only hope that I don't need to see "plumbers crack."


Lore, once again, thanks for the feed info.

Only 6 more days to go.
Greg
Back to top
  

I was misdiagnosed with MM in March of 2005. In January 2006, I was told it is not MM, but rather a massive restriction in the MC1 segment of my left carotid artery.
 
IP Logged
 
joeblack357
New Poster
*
Offline


I love YaBB 1G - SP1!

Posts: 24
Groton, USA, CT, Connecticut
Gender: male
Re: Angio is scheduled - and a question.
Reply #12 - Jun 13th, 2007 at 8:06pm
 
Greg,
     Glad to here that things are moving along for you, and that the insurance company is co-operating so far.  Wishing you luck on your angio. 

Joe
Back to top
  
 
IP Logged
 
Lore
MM.com Benefactor
***
Offline


My brother Kevin (Cubbie)
has Moyamoya

Posts: 819
Delaware, USA, usa, 419, 133, OH, Ohio
Gender: female
Re: Angio is scheduled - and a question.
Reply #13 - Jun 13th, 2007 at 9:08pm
 
Greg,

Glad to hear things are moving along and glad to see you have a sense of humor.

I love your phrases.  Kevin and I have a favorite phrase........."Any day above ground is a good day".  Yes, we find the humor in it and chuckle as we both know we are fortunate and blessed to be here.  Kevin with MM and me with a bout of kidney cancer.

We believe we are here today by the grace of God and the hands of a skilled surgeon.  We believe attitude is everything. Stay positive and know that you have methodically done all your homework and in seeking the best medical care and we are all here to support you through this.  You know we have all been down this road and for some the road has been long and tough but we are alive and as you mentioned, we are stronger for it.

We'll count down the days with you.

Keep us posted.

Hugs,

Lore
Back to top
  

"What lies behind us and what lies before us are tiny matters compared to what lies within us." - Ralph Waldo Emerson
 
IP Logged
 
Page Index Toggle Pages: 1
Send Topic Print



Moyamoya.com Forum » Powered by YaBB 2.4!
YaBB © 2000-2009. All Rights Reserved.


©2003-2018 Web Vision Enterprises LLC All Rights Reserved. All information on this site is protected by international copyright laws. You may not re-distribute any information from this site without written permission from Web Vision Enterprises LLC and the webmaster of this site. Violators will be prosecuted.

You may view our privacy policy and financial disclosure statement here





Valid RSS Valid XHTML Valid CSS Powered by Perl Source Forge