2010 Independent Medical Review Annual Report

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The Department of Insurance manages the Independent Medical Review Program outlined in California Insurance Code Section 10169. The information provided on this web page provides statistical information.

Total Number IMR: 428
Experimental/Investigational-Overturned: 58
Experimental/Investigational-Upheld: 86
Medical Necessity Overturned: 147
Medical Necessity Upheld: 128
Withdrawn: 9

Independent Medical Reviews (IMR) Annual Report- January through December 2010

Reference #	Diagnosis	Treatment	Experimental / Investigational- Overturned	Experimental / Investigational- Upheld	Medical Necessity Overturned	Medical Necessity Upheld	Withdrawn
10-1512	Narcolepsy	Rx: Xyrem			x
10-1513	Invasive Breast Cancer	PET Scan			x
10-1514	Autism	ABA therapy			x
10-1515	Renal cancer	PET and CT scan		x
10-1516	Left knee injury	Physical Therapy				x
10-1517	Migraine headaches.	Botox treatments	x
10-1518	Multiple Sclerosis	Rituximab injections	x
10-1519	Back injury	Back surgery					X
10-1520	Stomach pain - acid reflux	Rx: Zegerid 40mg					X
10-1521	Low back pain	Physical Therapy				x
10-1522	Morbid Obesity	Duodenal Switch Bariactic Surgery			x
10-1523	Substance abuse	Sub-acute residential tx				x
10-1524	Fibroid Tumors of Uterus	Unterine Fibroid Embolization			x
10-1525	Breast Hyperthrophy	Breast Reduction			x
10-1526	morbid obesity	Removal of lap band. Gastroplasty revision.				x
10-1527	Substance abuse	Sub-acute residential tx				x
10-1528	Hypogonadism	Rx: AndroGel			x
10-1529	Acute Psychosis	Residential TX Center			x
10-1530	Extremity lymphedema & recurrent cellulites	Flexxitouch pneumatic compression device			x
10-1531	Cervical facet arthritis & Degenerative joint dx	Radiofrequency lesioning of the facet nerves		x
10-1532	Sleep disorder	Neurofeedback therapy		x
10-1533	Neck pain	Cervical/thoracic discography and CT of cervical spine		x
10-1534	ADHD	Speech therapy			x
10-1535	Recalcitrant scalp psoriasis	Rx: Enbrel 50mg			x
10-1536	Left knee arthroscopy with partial medial & lateral meniscectomy	Continuous Passive Motion (CPM)			x
10-1537	Chronic Auto Immune Uticaria	Rx: Xolair				x
10-1538	Lower back pain, sciatica	MRI				x
10-1539	RSV	Rx: Synagis			x
10-1540	Chronic low back pain	Artificial Intervertebral Disc Replacement		x
10-1541	Short stature	Diagnostic test			x
10-1542	Esophogeal Cancer	Rx: Nexium			x
10-1543	Cervicalgia. Lumbago. Sciatica	Rx: Celebrex 200mg, twice daily				x
10-1544	Plantar fascitis	Orthotics			x
10-1545	Post total knee arthroplasty	Continous Passive Motion Device (CPM)				x
10-1546	Spastic cerebral palsy	Wheelchair			x
10-1547	Degenerative disc disease	Low back fusion surgery				x
10-1548	Psychiatric	Inpatient care				x
10-1549	Psychiatric	Inpatient care					X
10-1550	Back pain	Hemilaminotomy - back surgery				x
10-1551	Anorexia Nervousa. Syncope episodes. Obstipation. Suicidal.	Residential Tx			x
10-1552	Substance abuse. Mental disorder.	Inpatient care			x
10-1553	Bleeding hemorroids	Inpatient hospital & surgery					X
10-1554	Paresthesias	MRI of brain		x
10-1555	Degenerative disc disease	Discectomy & Artificial disc replacement		x
10-1556	Spinal stenosis & spondylolisthesis	X-STOP interspinous distraction device		x
10-1557	Morbid obesity	Sleeve gastrectomy	x
10-1558	Severe wrist pain	MRI of wrist	x
10-1559	Endometrial carcinoma	Intensity Modulated Radiation Therapy			x
10-1560	Post ACL knee surgery	Knee brace			x
10-1561	Post ACL knee surgery	Custom knee brace				x
10-1562	Bilateral knee osteoarthritis	Supartz injections			x
10-1563	Post ACL knee surgery & Medical meniscal tear	Custom knee brace & femoral length sock			x
10-1564	Chronic migraine headaches	Botox injections			x
10-1565	Transfemoral amputation secondary to osteosarcoma	Microprocessor-controlled prosthesis (C-Leg)			x
10-1566	Post ACL replacement surgery	Continous Passive Motion Device (CPM)				x
10-1567	Hx of psychotic depression. Malaise and decreased activity level.	Inpatient adult psychiatric services			x
10-1568	Nasal deformity	Nasal Reconstruction				x
10-1569	Acute Renal Failure/Congestive Heart Failure	Skilled nursing care			x
10-1570	Hx of left breast cancer	MRI of breast				x
10-1571	Candida /yeast/ thrush Migraines	Rx: Diflucan Rx: Celebrex				x
10-1572	Neck pain	Theraputic selective nerve root blocks			x
10-1573	Cyclic Dysmenorrhea	Rx: Leuprolide	x
10-1574	Degenerative disc disease	Two-level artificial disc replacement		x
10-1575	Mood disorder NOS, polysubstance abuse (alcohol, opiates, marijuana).	Inpatient residential tx				x
10-1576	Schizophrenia	Psychiatric residential treatment				x
10-1577	Multiple sclerosis	Rx: Rixtuxan					X
10-1578	Dementia, paralysis from several strokes, heart attacks, diabetes.	Skilled nursing facility care				x
10-1579	Autism	Applied Behavior Analysis			x
10-1580	Major Depression(suicidal)	Residential Treatment				x
10-1581	Eating disorder	Inpatient care				x
10-1582	Bipolar disorder. Bulimia. Mixed personality traits w/anti-social behavior. Cocaine dependence.	Psychiatric residential tx				x
10-1583	Low back pain	MRI				x
10-1584	Left patellar tendon rupture	Physical therapy			x
10-1585	Unknown	Anesthesiology during endoscopy			x
10-1586	Alcohol dependence & major depression	Residential treatment				x
10-1587	Back pain	posterior lumbar interbody fusion			x
10-1588	Binocular dysfunction, defective stereopsis, saccadic dysfunction, accomodative dysfunction.	Vision therapy				x
10-1589	Heart disease / heart attack	Real-Time Remote Heart Monitor		x
10-1590	Chest pains / shortness of breath	Coronary CT angiography		x
10-1591	Ruptured rotator cuff	Rotator cuff graft	x
10-1592	Idiopathic short stature	Growth hormone therapy (Nutropin)				x
10-1593	Pre-breast cancer	Rx: Arimidex			x
10-1594	Liposarcoma of the Spermatic Cord and agressive tumor with metastisis.	PET Scan	x
10-1595	Myocardial Infarction	Enhance External Counterpulsation (EECP) and Thoracic Bioimendance (TEB) & Inert Gas Rebreathing.	x
10-1596	Kidney cancer	PET Scan		x
10-1597	Neck and upper back pain	Physical therapy				x
10-1598	Recurrent metastatic endometrial cancer	PET Scan	x
10-1599	Disassociation and Deralization w/photophobia and phonophobia.	Video imaging (EEG)				x
10-1600	Fractured and sprained ankle	Emergency treatment			x
10-1601	Hx of breast cancer. Post mastectomy.	Oncotype DX				x
10-1602	Drug abuse	Residential treatment center				x
10-1603	Acne	Rx: Benzaclin gel				x
10-1604	Post spine surgery	Physical therapy				x
10-1605	Major depressive disorder	Inpatient hospitalization				x
10-1606	Lymphedema	Multi-chamber programmable lymphedema pump			x
10-1607	Back pain	MRI				x
10-1608	Esophagitis. Esophago-gastroduo-denoscopy(EGD)	Anesthesia				x
10-1609	Pancreatic cyst	Tumor cell assay		x
10-1610	Lumbar radiculopathy (L3-4 and L4-5)	Percutaneous laser discectomy		x
10-1611	Chest pain & discomfort	Cardiac computed omography angiography with 3-dimensional imaging		x
10-1612	Rt knee & ligaments	Vasopneumatic device		x
10-1613	Degenerative disc disease	Two-level cervical disc arthroplasty		x
10-1614	Post ligament reconstruction	Left knee autologous chondrocyte implantation		x
10-1615	Right anterior scalene muscle block	Botox injections		x
10-1616	Pancreatic cancer	PET scan - full body		x
10-1617	Post acute myocardian infarction	Skilled nursing facility				x
10-1618	IGF deficiency (insulin-like growth factor)	IGF Tx				x
10-1619	Osteoarthritis	Synvisc One injection			x
10-1620	Hypertriglyceridemia	Rx: Lovaza 8mg			x
10-1621	Lumbago, lumbar segmental dysfunction and myalgia	Physical therapy. Chiropractic services.				x
10-1622	ADD. Mood Disorder. Polysubstance abuse	Residential treatment				x
10-1623	Pelvic pain and dyspareunia	Physical therapy				x
10-1624	Attention Deficit Hyperactivity Disorder (ADHD)	Bio-feedback		x
10-1625	Elevated Liver Enzyme	CT of abdomen & pelvis			x
10-1626	Right leg pain	Physical therapy			x
10-1627	Rt knee & ligaments	Physical therapy			x
10-1628	Substance Abuse/Dependence	Sub-acute residential detoxification & rehabilitation				x
10-1629	Mental health	Inpatient hospitalization				x
10-1630	Unknown	Rx: Butorphanol Tartrate 10mg/ml			x
10-1631	Substance abuse	Residential treatment			x
10-1632	Alcohol, opiate and sedative withdrawal	Inpatient detox services			x
10-1633	Lower back pain	Back surgery				x
10-1634	Drug/Alcohol abuse	Residential treatment for inpatient detox				x
10-1635	Arthroscopy shoulder sx & torn labrum	Physical therapy			x
10-1636	Hallux rigidus	Custom functional orthotic			x
10-1637	Major depression w/severe impairment	Psychiatric hospitalization			x
10-1638	Hypogonadism with low testosterone levels. Elevated levels of prolactin	MRI of brain and pitutary			x
10-1639	Lesions on head (causing bald spots)	Hair Transplant				x
10-1640	Severe mental disorder	Inpatient psychiatric services			x
10-1641	Erichiosis	Antibotic treatment		x
10-1642	Degenerative disc disease	Artificial lumbar disc surgery. Artificial intervertebral discs		x
10-1643	Papillary thyroid cancer	Stereotactic radiation therapy		x
10-1644	Metastatic carcinoma	MRI		x
10-1645	Peripheral neuropathy	Rx: Lyrica			x
10-1646	Sciatica	Lumbar discogram (spine fusion surgery)				x
10-1647	Lumbar disc displacement	Disectomy		x
10-1648	Autism	Speech, occupational, physical therapy, and ABA treatment.			x
10-1649	Attention Deficit Hyperactivity Disorder (ADHD)	Rx: Vyvanese 100mg/day				x
10-1650	Growth Hormone Deficiency	Growth Hormone Supplements				x
10-1651	Liver cancer	Selective internal radiation therapy	x
10-1652	Breast cancer	Oncotype DX testing				x
10-1653	Crohn's Disease	Rx: Remicade (Infliximab)			x
10-1654	Fractured foot	Delayed ultrasonic bone stimulation				x
10-1655	Mental health (ADHD, bipolar, etc.)	Inpatient care				x
10-1656	Post Stroke	Transcatheterembolization procedure		x
10-1657	Sarcoidosis	CT scan				x
10-1658	Intrparenchymal hemorrhage	Hospitalization				x
10-1659	Autism	ABA			x
10-1660	Substance Abuse	Prometa		x
10-1661	Alcohol addiction	Inpatient treatment for substance abuse				x
10-1662	Ankle and Mid-thoracic pain	Physical therapy			partial
10-1663	Glaucoma	Canaloplasty	x
10-1664	Chronic Migranes	Botox		x
10-1665	Uterine fibroids	MRI guided focused ultasound		x
10-1666	Flu like symptoms	Emergency room service				x
10-1667	Social anxiety disorder with obsessive compulsive disorder	Inpatient mental health residential treatment			x
10-1668	Incomplete bladder emptying	Diagnostic MRI				x
10-1669	Sleep disorder, insomnia & narcolepsy	Rx: Provigil			x
10-1670	Alcohol addiction	Subacute detoxification treatment				x
10-1671	Depression	Inpatient hospitalization				x
10-1672	Substance abuse with physiological dependence	Sub-acute residential substance abuse rehabilitation			x
10-1673	Short stature	Rx: Tev-Tropin			x
10-1674	Deg disc disease	Spinal fusion surgery			x
10-1675	Keloid scarring tissue	Surgery				x
10-1676	Bulimia Nervosa	Intensive outpatient treatment				x
10-1677	Behavioral health	Residential Tx Center				x
10-1678	Anxiety, bipolar disorder & major depression	Inpatient psychiatric hospitalization			Partial
10-1679	Multiple sclerosis	Upper & lower surface electromyography & surface electrodiagnostic testing		x
10-1680	Irritable bowel syndrome	Gastroenterology procedure--SmartPill GI Monitoring System		x
10-1681	Left-sided lower extremity hemiplegia post stroke	WalkAide functional electrical stimulator device		x
10-1682	Recurrent syncopal episodes	Real time remote cardiac monitoring	x
10-1683	Varicose veins	Endovenous Laser Closure (EVIC) and Ultrasound Guided Sclerotherapy (UGS)	partial
10-1684	Hypercholesterolemia	Coronary computed tomography angiography		x
10-1685	Meniere's Disease	Meniett device		x
10-1686	hepatitits C genotype 1	SPECT scan	x
10-1687	Acne vulgaris	Rx: Duac CS Kit				x
10-1688	Major depression	Inpatient treatment				x
10-1689	Obesity	Rx: Meridia			x
10-1690	Short stature	Saizen growth hormone therapy				x
10-1691	Bilateral profound sensorineural hearing loss	Bilateral cochlear implants			x
10-1692	Breast cancer	IMRT (Intensity Modulated Radiation Therapy)	x
10-1693	Combined hyperlipidemia	Homocysteine & lipoprotein tests		x
10-1694	Tumors in lungs.	Rx: Gleevec	x
10-1695	Right renal lesion	PathFinder TG testing	x
10-1696	Alcohol/Drug addiction	Inpatient addiction treatment				x
10-1697	Behavioral issues - polysubstance dependency	Psychological care, residential tx			partial
10-1698	Chronic cough	CT Scan			x
10-1699	Suspected metastatic breast cancer	CT scans of the chest, abdomen and pelvis			x
10-1700	Prostate cancer	IMRT	x
10-1701	Polysubstance abuse	Hospital services			x
10-1702	CIPD	IVIG therapy			x
10-1703	Hidradenitis suppurativa	Rx: Remicade	x
10-1704	Right Shoulder Sprain/Inpingement	Physical therapy				x
10-1705	Lower back pain associated with radicular symptoms during pregnancy.	Physical therapy			x
10-1706	Transverse discrepancy Jaw	Multi-segment Lefort I oesteotomy w/bone grafting			x
10-1707	Adult Growth Hormone Deficiency. Benign Neoplasm of Pituitary.	Genotropin therapy			x
10-1708	History of lumbar spinal stenosis & post-laminectomy syndrome in lumbar region	Interspinous Process Decompression System (X-STOP).		x
10-1709	Sore throat & fever	Emergency services			x
10-1710	Back pain	Enbrel therapy		x
10-1711	Speech and learning disability	Speech therapy					X
10-1712	Substance abuse & depression	Residential treatment				x
10-1713	Lumbar degenarative disc disease	Posterior fusion				x
10-1714	Bulging disc in neck & severe arthritis	MRI of the cervical spine				x
10-1715	Bipolar I disorder	Acute inpatient psychiatric hosp				x
10-1716	Mood disorder, anxiety, bulimia nervosa, attention deficit hyperactivity disorder.	Residential treatment				x
10-1717	History of right renal tumor	Radiofrequency ablation		x
10-1718	Osteoporosis	Bone mineral density scan	x
10-1719	Morbid obesity	Laparoscopic sleeve gastrectomy	x
10-1720	Reconstruction of the anterior cruciate ligament of the left knee.	Cooling device/pneumatic compression device		x
10-1721	Short stature	Growth hormone tx		x
10-1722	History of gastric adenocarcinoma	PET scan		x
10-1723	Lung cancer metastic to the brain	PET scan	x
10-1724	Syncope due to cardiac arrhythmia	Real-time cardiac monitor	x
10-1725	Back pain	Discography				x
10-1726	Cardiovascular Disease	Laboratory blood test				x
10-1727	Hypogammaglobulinemia	IVIG therapy			x
10-1728	Right knee chondromalacia	Synvisc injections			x
10-1729	Severe dermatochalasia. Symmetry & obstruction of vision.	Bilateral blepharoplasty					X
10-1730	Epilepsy	Steriotactic computer assisted volumetric	x
10-1731	Cancer	PET/CAT scan	x
10-1732	Cardiovascular Disease	C-reactive protein; high sensitivity	partial
10-1733	Acute menopausal symptoms, at risk for cardiac disease.	VAP test	partial
10-1734	High risk breast cancer	MRI (Diagnostic)			x
10-1735	Sleep apnea along with depression and anxiety.	CPAP machine			x
10-1736	Severe back & flank pain	CT Urogram			x
10-1737	Brain aneurism	3-D Echocardiogram	x
10-1738	Autism	ABA therapy				x
10-1739	Autism	ABA, speech and occupational therapy			x
10-1740	Depression, obsessive-compulsive disorder and anxiety.	Partial hospitalization program				x
10-1741	Metastatic bladder cancer	Papillary urothelial carcinoma cell therapy		x
10-1742	Psoriasis	Excimer Laser		x
10-1743	Lyme's disease	Lab test		x
10-1744	Hyperlipdemia	Various blood tests: Homocysteine, lipoprotein quantification, lipoprotein, fibrinogen and apolipoprotein.		x
10-1745	Ocular Melanoma metastases to liver	Chemoembolization (CE), selective catheter placement, arterial system.	x
10-1746	Post surgery- recurring patella dislocation	Physical therapy			partial
10-1747	Cough, congestion, fever	Emergency service				x
10-1748	Foot pain and insomnia	Rx: Ambien				x
10-1749	Pelvic floor dysfunction	Physical therapy				x
10-1750	Superior semicircular canal dehiscence syndrome (SCDS)	Post surgery ICU stay			x
10-1751	Post surgery - Anterior cruciate ligament	Allogrant Transplant	x
10-1752	Hx of ovarian cancer & status post hysterectomy.	Human epididymis protein 4 (HE4) diagnostic test.	x
10-1753	Pancreatic cancer	PET/CT Scan	x
10-1754	Prostrate cancer stage IV	Proton Treatment		x
10-1755	Post hip surgery	Game Ready System		x
10-1756	Chronic migraine headache	Botox injections	x
10-1757	Tinnitus	Neuromonics Tinnitus Treatment (device)		x
10-1758	Vitiligo	Ultraviolet light therapy	x
10-1759	Rheumatoid arthritis	MRI of the hand		x
10-1760	Basal & squamous cell carcinoma	Photodynamic light therapy		x
10-1761	Cancer of fallopian tube	MRI		x
10-1762	Sacroiliac joint and left lower gluteal pain	Physical therapy				x
10-1763	Suicidal / Depression	Hospitalization			x
10-1764	Autism	Speech, Occupational and Applied Behavioral Analysis (ABA)				x
10-1765	Herniated disc at L3-4 & foraminal stenosis at L2-3 with nerve root impingement (post surgical)	Rx: Pregabalin (Lyrica)			x
10-1766	Anxiety attacks	Residential treatment center services				x
10-1767	Diagnostic procedure	Colonoscopy			x
10-1768	Eating disorder	Residential treatment center services			x
10-1769	Post temporomandibular joint arthroplasty (TMJ)	CT Scan			x
10-1770	Acute Depressive disorder (bereavement issues)	Inpatient hospitalization				x
10-1771	Bipolar disorder; Attention deficit hyperactivity disorder; Eating disorder.	Inpatient psychiatric residential care			x
10-1772	Ribroadenoma of breast	Cryoablation of fibroadenoma	x
10-1773	Stuttering	Comfort Fit SpeechEasy device		x
10-1774	Morbid obesity	Vertical sleeve gastrectomy		x
10-1775	Tibial Plateau Fx	Continous Passive Motion Device				x
10-1776	ADHD / Drug addiction / Mental health	Residential treatment center services			x
10-1777	Autism	Speech, Occupational, and ABA Tx			partial
10-1778	Oppositional defiant disorder, depressive disorder, cannabis dependence, cocaine abuse.	Residential treatment				x
10-1779	Posttraumatic multilevel degenerative herniated lumbar discs.	Microendoscopic Discectomy		x
10-1780	Unknown	Epidural injections of anesthetic agent	x
10-1781	Cervicalgia & lumbago	Physical therapy				x
10-1782	Mesothelioma	Interferon		x
10-1783	Lung cancer	Stereostactic Radiosurgery		x
10-1784	Chest pain	CTA Coronaries. CAL scoring	x
10-1785	Major depression	Transcranial Magnetic Stimulation Therapy.		x
10-1786	Breast cancer history	IMR	x
10-1787	Depression & attention deficit hyperactivity.	Neurofeedback (EEG biofeedback)		x
10-1788	Post fusion C5-6 with adjacent degeneration above & below.	Cervical anterior interbody fusion		x
10-1789	Diabetic Retinopathy	Intravitreal injection of Avastin.	x
10-1790	Obesity	AP Sleeve Gastrectomy	x
10-1791	Migraine headaches	Botox injection	x
10-1792	Brachycephaly	Cranial remolding orthesis	x
10-1793	Chronic migraine headaches	Botox injections	x
10-1794	Progressive memory & cognitive dysfunction.	PET scan		x
10-1795	Learning disabilities	Speech therapy & Occupational therapy			x
10-1796	Symtomatic Macromastia	Breast Reduction				x
10-1797	Cerebral Palsy	Occupational therapy			x
10-1798	Polysubstance dependence	Inpatient psychiatric residential tx				x
10-1799	Neck & shoulder pain	Physical therapy			x
10-1800	Post status rotator cuff repair	Physical therapy				x
10-1801	Drug addiction	Rx: Subutex			x
10-1802	Weakness, fatigue & paresthesias of unclear etiology.	Acute hospital services			x
10-1803	Blepharochalasia	Bilateral upper eyelid blepharoplasty			x
10-1804	Depression, anorexia	Inpatient hospitalization				x
10-1805	Dysfluency	Speech therapy				x
10-1806	Shoulder pain	MRI of right shoulder				x
10-1807	Major depressive disorder	Residential tx			x
10-1808	Osteoporsis of hip & spine	Duel Energy X-ray absorptimetry (DEXA)				x
10-1809	Cirrhosis & hepatocellular carcinoma	Selective internal radiation therapy (SIRT)	x
10-1810	History of Hypercholesterolemia	CT Antgiography		x
10-1811	Obesity	Laproscopic restrictive vertical sleeve surgery.			x
10-1812	Obstructive Sleep Apnea	Mandibular repositioning device			x
10-1813	Metastatic colon cancer	Rx: Avastin			x
10-1814	Post injury left knee	Knee brace				x
10-1815	Chronic tics	Rx: Xenazine			x
10-1816	Growth failure/short stature	Growth hormone therapy (Humatrope)			x
10-1817	TMJ vs TMD (temporomandibular disorders)	Orthotics removable			x
10-1818	Left hip impingement	Femoroacetabular hip arthroscopic		x
10-1819	Rectal cancer	IMRT	x
10-1820	Intractable seizures	Magnetoencephalogram (MEG)	x
10-1821	Liver mass	MRI of lumbar spine. Computerized tomography of the abdomen & pelvis			partial
10-1822	Ovarian cancer. Hx of 2 primary tumors w/possibility of metastasis to the lungs in each instances.	CT scan of the chest			x
10-1823	Breast cancer	Diagnositic imaging			x
10-1824	Asymptomatic cancer patient	MRI	x
10-1825	Substance-abuse disorder, depression w/ sucidical ideation & possible overdose.	Acute psychiatric inpatient services			x
10-1826	Pancreatic Cancer	Stereotactic body TX			x
10-1827	Depression	TMS - Transcranial Magnetic Stimulation		x
10-1828	Gynomastia	Surgery			x
10-1829	Post right knee medial meniscectomy	Physical therapy			x
10-1830	Progressive liver disease	Selective Internal Radiation Therapy (SIRT)	x
10-1831	Esophaeal cancer with brain metastasis	Stereotactic radiosurgery		x
10-1832	Degenerative Disc Disease	Artificial Disc Replacement Surgery		x
10-1833	Coronary artery disease	Computed Tomography (CT) angiography of the heart		x
10-1834	Depression	Transcranial Magnetic Stimulation	x
10-1835	Right hip Arthroscopy	GameReady Ice Machine		x
10-1836	Autism	Partial Inpatient Psychiatric Hospitalization			x
10-1837	Autism	Partial Inpatient Psychiatric Hospitalization			x
10-1838	Asperger's syndrome	Psychiatric residential treatment			x
10-1839	Degenerative Disc Disease	Spinal Fusion				x
10-1840	Allergies	Intradermal testing				x
10-1841	Addiction & eating disorder	Inpatient stay			x
10-1842	Anxiety. Developmental coordination disorder/Hypotonia	Occupational treatment			x
10-1843	Multiple Sclerosis	IVIG treatment			x
10-1844	Diagnostic testing	Anesthesia during colonoscopy				x
10-1845	Post exploratory laparotomy & umbilical hernia repair	Hospital services			x
10-1846	Sleep Apnea	Sleep Apnea retest				x
10-1847	Biopolar	Residential treatment			x
10-1848	Depressive disorder	In-patient psychiatric hospitalization			x
10-1849	Back injury	MRI of spince				x
10-1850	Degenerative spine disease	Lower back fusion surgery				x
10-1851	Cerebrovascular accident (CVA), hypertension, sleep apnea, COPD, morbid obesity	Physical & occupational therapy			x
10-1852	Drug addiction	Inpatient detox				x
10-1853	Degenerative disc disease	X-Ray of lower spine disc				x
10-1854	Esophago gastro doudenoscopy	Anesthesia					X
10-1855	GERD	Lipoprotein-associated phospholipase A2		x
10-1856	Metastatic Breast Cancer	Rx: Avastin			x
10-1857	Metastatic neuroendocrine tumor with liver involvement.	Transcatheter embolization			x
10-1858	Sleep apnea	Average Volume Assured Pressure support (AVAP)			x
10-1859	Status post total knee arthroplasty	Continuous passive motion device				x
10-1860	Post knee surgery	Knee brace				x
10-1861	Osteoarthritis of the right knee	Supartz Injections				x
10-1862	Multiple Sclerosis w/systemic sjogrens syndrome overlap.	IVIG			x
10-1863	Bipolar disorder	Residential treatment			x
10-1864	Rectal cancer	IMRT (intensity modulated radiation therapy)				x
10-1865	Adhesive capsulitis (status-post fracture)	Physical therapy			x
10-1866	3mm C6-C7 disc protrusion & C5-C6 degenerative disc w/ spinal stenosis.				x
10-1867	Colorectal cancer state IV	Rx: Gemcitabine		x
10-1868	Unknown	MRI of breast		x
10-1869	Autism	ABA therapy	x
10-1870	Right piriformis syndrome; Right pelvic neurologic symptoms.	Complex imaging interpretation & surgical services.		x
10-1871	Bilateral hip pain	Bilateral arthroscopic hip surgery		x
10-1872	Migraine headaches	Botox therapy			x
10-1873	Left knee injury	MRI of knee			x
10-1874	Hyper-mobility of left shoulder	Physical therapy			x
10-1875	Autism	Speech therapy			x
10-1876	Nasal congestion	Intradermal allegery testing		x
10-1877	Lyme disease	Non-oral medication		x
10-1878	Post-traumatic ostechondral lesion of the talus.	Autograft transplantation		x
10-1879	Lung Cancer	Rx: Avastin	x
10-1880	Vitiligo	Excimer laser tx	x
10-1881	Crohn's disease	Allergen testing		x
10-1882	Degenerative disc disease	Laminotomy				x
10-1883	Chronic lumbar pain	Spine surgery				x
10-1884	Alcohol Dependence	Residential Treatment				x
10-1885	Disc disease	Lumbar fusion, spinal fixation, lamina removal, shaving of disc.				x
10-1886	Breast Cancer	PET scan				x
10-1887	Herniated disc	Spinal fusion surgery				x
10-1888	Bipolar affective disorder; Current episode depressed	Inpatient treatment for overdose			x
10-1889	Degenerative disc disease and bilateral lower extremity radiculopathy.	Spinal fusion followed by posterior fusion & decompression.				x
10-1890	Bipolar Disorder	Inpatient treatment			x
10-1891	Severe depression	Transcranial Magnetic Stimulation		x
10-1892	Post right ACL repair (knee)	Knee brace				x
10-1893	Autism	Speech therapy			x
10-1894	Autism	ABA therapy	x
10-1895	Endometrial Cancer	CT scan			partial
10-1896	Multiple Sclerosis	Antologous hematopoietic stem cell transplant	x
10-1897	Autism	Inpatient tx			x
10-1898	Diarrhea	C DIFF Toxin testing	x
10-1899	Right ankle arthritis	Ankle arthroplasty with implant (total knee)		x
10-1900	Mild degenerative interspace narrowing, L2-3 diffuse bulge	Anterior spine fusion				x
10-1901	Alcohol Dependence	Detoxification				x
10-1902	Severe depression	Residential mental health service			x
10-1903	Bi-lateral breast reduction	Migraines. Severe back & shoulder pain				x
10-1904	Facial pain	Botox injections				x
10-1905	Post auto accident injuries	Physical therapy				x
10-1906	Liver cancer / Unresectable Intrahepatic Cholangiocarcinoma	Stereotactic body radiotherapy	x
10-1907	Loss of medial meniscus	Paste grafting procedure - articular cartilage		x
10-1908	Migraine headaches	Botox injections	x
10-1909	Myocardial ischemia	CT scan		x
10-1910	Severe fatigue & pain related to posterior trapezial & neck region w/intermittent pain radiating to central proximal thoracic spine.	Complete discectomy		x
10-1911	Multiple sclerosis	WalkAide Functional Electrical Stimulator		x
10-1912	Schizophrenia disorder	Partial hospitalization program				x
10-1913	Back pain. Degenerative disc disease.	Fusion surgery				x
10-1914	Autism	ABA treatment			x
10-1915	Post rotator cuff repair	Physical therapy				x
10-1916	Precocious puberty	Rx: Supprelin LA			x
10-1917	Sleep apnea	C-pap device / Intraoral splint			x
10-1918	Type 1 diabetes	Portable insulin pump			x
10-1919	Eating Disorder	Intensive outpatient services			x
10-1920	Paraplegic	Ultra lightweight wheelchair			x
10-1921	Alcohol abuse	Residential treatment			x
10-1922	Depression, attention deficit hyperactivity disorder, obsessive compulsive disorder, anxiety disorder, substance abuse, suicidal ideation & self injurious behaviors	Residential treatment			x
10-1923	Major depressive dorder w/ psychotic features & boderline personality disorder	Residential treatment			x
10-1924	Ovarian Cancer	Human tumor cell assay				x
10-1925	Neck & back Pain; Multilevel degenerative disc disease w/facet arthrosis	Percutaneous neurolysis			x
10-1926	Severe Headaches & visual disturbance	MR angiography				x
10-1927	Acute Myeloid Leukemia w/unrelated Stem-cell transplant	PET with CT	x
10-1928	Metastatic ampullary carcinoma	Nanoparticle pacilitaxel (Abraxane) in combination w/gemcitabine.				x
10-1929	Limited Flexion to thirty degrees	Continuous passive motion device				x
10-1930	B-cell lymphoma	Intensity modulated radiation therapy (IMRT)				x
10-1931	Infection secondary to ganegrenous toe amputation	Intravenous Immune Globulin therapy (IVIG)			x
10-1932	Small intestinal bacterial overgrowth	Rx: Xifaxan 200mg			x
10-1933	Pervasive development disorder	Psychiatric visits				x
10-1934	Depression	Transcranial Magnetic Stimulation tx		x
10-1935	Spinal cord injury	Bilateral shoulder Dynasplints			x
10-1936	Unknown	Inpatient hospitalization					X
10-1937	Atopic dermatitis	IVG		x
10-1938	Sleep apnea / Insomnia	Yongue based suspension, permanent suture technique.		x
10-1939	Short stature	Growth hormone Nutropin AQ			x
		TOTALS	58	86	147	128	9