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← Return to Median Arcuate Ligament Syndrome (MALS)
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Median Arcuate Ligament Syndrome (MALS)
Digestive Health | Last Active: Oct 29 2:54pm | Replies (1225)Comment receiving replies
Hi all, does anyone know if BCBS insurance covers MALS surgery? When I called them they stated I needed to know the providers name and CPT code in order to get coverage information. I talked to my physician and he did not give me either since he is not certain I will need surgery. He only stated that I would be sent to California if it is necessary. Meantime, my husband and I have post poned buying a home and pregnancy due to not knowing what this possible surgery could cost us. We’d really like to be able to plan around this and move forward. Thanks in advance for any advice you can offer.
Replies to "Hi all, does anyone know if BCBS insurance covers MALS surgery? When I called them they..."
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It’s silly that your doctor won’t give you the CPT code just because he’s not sure you have MALS. These codes are not top secret information! There are other ways to get them. Try your local hospital medical records department and ask to speak with someone familiar with coding. The manager of this department should surely know the code or codes. A general surgeon’s office should also be able to provide this information.