Jan acquired CRPS-I in her right knee about a month after surgery above the knee. She just finished a 5-day ketamine treatment in New York and has had the first real relief. The insurance company only wants to pay for the first two days, and classifies the procedure as experimental.
We are looking for examples of whether or not an insurer has paid for low-dose ketamine infusions (inpatient or outpatient), and whether an appeal was involved. If the claim was processed through Medicare, was the procedure covered? If so, please provide the codes if available, and whether or not an appeal was involved.
Please reply to Jim Broatch at [email protected]. | |