Anyone get IVIG based on pneumococcal titers?

[Phasmid]

My son has "specific immune deficiency" as he has no antibodies to 11 of 14 serotypes, even after re-immunization. He was rechecked one year after, so there was plenty of time for him to respond. In the Blue Cross descriptions of covered diagnoses for IVIG, this condition is a qualifying diagnosis.

 

Have you gotten IVIG covered with this diagnosis?

[melanie]

I did

 

Under CIVD I have BCBSNJ

[Tamistwins]

My son has "specific immune deficiency" as he has no antibodies to 11 of 14 serotypes, even after re-immunization. He was rechecked one year after, so there was plenty of time for him to respond. In the Blue Cross descriptions of covered diagnoses for IVIG, this condition is a qualifying diagnosis.

 

Have you gotten IVIG covered with this diagnosis?

No not as of yet... We are still in appeal. My children also have no or low antibodies to most of the serotypes.

[Phasmid]

thanks Melanie, and is there a diagnosis code for this that is standard? THIS IS SO FRUSTRATING!!! The insurance company can't tell me if they cover this (selective antibody defiency) because they don't have a diagnosis code - I have to get this from the doctor's office. So, we conference call the doc's office and the girl tells us that they don't keep the dx codes there, that they have to call a different department! AAAGGGGGGHHHHHHHhhhhhh!

 

 

I did

 

Under CIVD I have BCBSNJ

Edited February 16, 2011 by Phasmid

[kimballot]

My son has "specific immune deficiency" as he has no antibodies to 11 of 14 serotypes, even after re-immunization. He was rechecked one year after, so there was plenty of time for him to respond. In the Blue Cross descriptions of covered diagnoses for IVIG, this condition is a qualifying diagnosis.

 

Have you gotten IVIG covered with this diagnosis?

 

You might be able to find some information here: http://icd9cm.chrisendres.com/index.php?action=contents