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Posts by Serenity

ICD9code : 781.3
I'm not sure what the code means that the OT put on the previous invoices. We have to appeal all these rejected claims so I will be supplying documentation that he has an ASD. I hope the fact that NY Insurance Law says treatment and diagnosis of ASD is covered will be enough to get the claims paid.
Thank you so much for that link! My insurance company has been like talking to a brick wall. Of course they don't want to pay for it. I will also look into local autism groups.
Hi all, my insurance company is denying my 6 y.o. ds coverage for his OT. They say it's not medically necessary. He has Asperger's and ADHD, and has struggled with low muscle tone and incoordination for years. Anyone have any luck with proving OT was medically necessary? Oh, and my plan doesn't cover developmental delays, which he has always had. Thanks for any help in advance! Karen
no, he doesn't have hypotonia. that' s interesting about the developmental leaps with therapy breaks. i would love to see that!
thank you so much for your replies. I have been trying to help him for so long that i'm afraid to stop any therapy in case he stalls where he's at. I think he is too tired. I don't see that changing any time soon. It is a long day for him. He does get OT at school two times a week but they mostly focus on handwriting, and ignore the sensory integration/coordination stuff that he still needs. I think we'll take a break and see how it goes. Thanks again for all your...
Hi all, it's been awhile since I've posted here but I'm having a dilemma and wondered if some of you might have some insight. My ds, diagnosed Asperger's and ADHD, has been going to OT since he was 3. He's now 6, in a full day first grade. He has been going to weekly OT privately afterschool which he has become more and more defiant at, refusing to cooperate, running around screaming, spitting, name calling at the therapist. He says he hates it and wants to be done. The...
we did the listening therapy with apricot jamz etc. to assist with motor planning dyspraxia, coordination for ds. he hated every minute of it. hated the headphones. hated the music. after 9 months we called it quits. he had no noticable improvements.
my ds (5) who has asperger's has done really well in a public school kindergarten. he does especially well with the structure they provide him. he also gets services there, OT, PT, and social skills.
thanks for your responses, i will definitely try to do this for ds
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