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Insurance Codes for Pre-Cycle Blood Tests???

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  • Insurance Codes for Pre-Cycle Blood Tests???

    I just had a full blood panel done through my primary care physician. He didn't seem too keen on the idea of why we were doing it but he went ahead and approved it to ensure my health.

    However, I heard him tell the nurse taking my blood to classify the reason for the test as "high risk meds." Does this mean my insurance company will drop me or what - I'm not happy right now if that is the case.

    Any insurance folks/doctors/nurses available to help????

  • #2
    I dont have any info for you but I'm really interested in this myself. I'm planning on asking my doc for a full physical with bloodwork and my excuse will be that I'll be 25 soon and my ins. may be lapsing for some time and I want to be sure there are no foreseeable problems.

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    • #3
      most likely it means he is considering prescribing high risk meds that would affect your levels and you were using the bloodwork as a baseline.

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      • #4
        Originally posted by al the chemist
        most likely it means he is considering prescribing high risk meds that would affect your levels and you were using the bloodwork as a baseline.
        Thanks - that's what my common sense tells me but I just didn't want it to cause problems if that wasn't what it essentially meant...

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        • #5
          Originally posted by fog_hat1981
          I just had a full blood panel done through my primary care physician. He didn't seem too keen on the idea of why we were doing it but he went ahead and approved it to ensure my health.

          However, I heard him tell the nurse taking my blood to classify the reason for the test as "high risk meds." Does this mean my insurance company will drop me or what - I'm not happy right now if that is the case.

          Any insurance folks/doctors/nurses available to help????

          They may not pay if they know your using drugs or AAS.

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          • #6
            Originally posted by Alin
            They may not pay if they know your using drugs or AAS.
            Could you possibly be any more insightful...

            :rolleyes:

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            • #7
              how would they know if he was using drugs or aas unless they specifically tested him for those substances? Testing of substances is not included in full panel...on the other hand if you had admitted to your physician and he documented the use of drugs or aas then the insurance could reject it and take away your coverage.

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              • #8
                Originally posted by fog_hat1981
                Could you possibly be any more insightful...

                :rolleyes:
                This guy is usually real good. I think he misread your post.

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                • #9
                  Originally posted by fog_hat1981
                  Could you possibly be any more insightful...

                  :rolleyes:

                  Yeah sure. If your insurance company finds out about your self medication, they may not pay for blood work, or future treatment.

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                  • #10
                    I've always felt that, as Rado has, it's not out-of-line for you to go to your doc and ask for a blood test. I see it as kinda like asking for a physical, and them thinking you want to make sure you're healthy before you go on a hunger strike, or join the UFC league or something otherwise hazardous.

                    If I were you, I'd say I read an article in [insert magazine here] about some disease, or some condition, or something deficiency, cholesterol, kidney functions...or something that'll get the doc thinking somewhere else. I'd continue a dialogue with him about, say, my HDL levels, saying I'm worried cause my dad has high cholesterol or something...

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                    • #11
                      they're called diagnosis codes. insurance companies pay for test differently depending on the diagnosis the doctor uses. It will definetly be noted in your insurance.

                      Its probably code: V67.5? (51, 52, 53 etc) or V58.6? (61, 62 etc)

                      click here for a google search on ICD9 Codes

                      http://www.google.com/search?sourcei...&q=ICD+9+codes

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                      • #12
                        Originally posted by go Yankees
                        I've always felt that, as Rado has, it's not out-of-line for you to go to your doc and ask for a blood test. I see it as kinda like asking for a physical, and them thinking you want to make sure you're healthy before you go on a hunger strike, or join the UFC league or something otherwise hazardous.

                        If I were you, I'd say I read an article in [insert magazine here] about some disease, or some condition, or something deficiency, cholesterol, kidney functions...or something that'll get the doc thinking somewhere else. I'd continue a dialogue with him about, say, my HDL levels, saying I'm worried cause my dad has high cholesterol or something...
                        Well, it's probably too late if they decide to take an issue with it. However, I have found a doctor in my plan coverage that keeps an eye on some other competitors in my gym so I will make him my PCP in the fall. Hopefully the insurance company won't drop me for this one instance - fingers crossed...

                        Originally posted by Fit2bLarge
                        they're called diagnosis codes. insurance companies pay for test differently depending on the diagnosis the doctor uses. It will definetly be noted in your insurance.

                        Its probably code: V67.5? (51, 52, 53 etc) or V58.6? (61, 62 etc)

                        click here for a google search on ICD9 Codes

                        http://www.google.com/search?sourcei...&q=ICD+9+codes
                        Thanks bro - that was the type of information I was looking for - keeping my hopes up that the insurance company won't get any weird ideas....

                        You sound pretty knowledgeable about this - what do you think they will say? I suppose I could pay for the test out of pocket if they refuse to pay it but I wouldn't want them to drop me completely......

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