Subject: RE: medical opinion//training exam //amal //solidarity//aubmc//24a3190// hysteroscopy
From: Nicolas Abdallah <[email-masked]>
To: Mohamad Issa <[email-masked]>, Lara Ghaddar <[email-masked]>, Jose Kmeid <[email-masked]>
Cc: Toufic Jomaa <[email-masked]>, FLS <[email-masked]>
Date: Mon, 28 Oct 2024 09:56:06 +0000

Hello,

Septate uterus is a congenital disease. It can also be a cause of infertility, but not always. So in our opinion this case should follow the rules on the congenital section of this patient's TOB.

Thank you,

Dr. Nicolas Abdallah
Medical Controller
[Test sad asdasd]
(+961) 1 492 249

www.mednetliban.com<http://www.mednetliban.com/>

From: Mohamad Issa <[email-masked]>
Sent: Monday, October 28, 2024 11:00 AM
To: Nicolas Abdallah <[email-masked]>; Lara Ghaddar <[email-masked]>; Jose Kmeid <[email-masked]>
Cc: Toufic Jomaa <[email-masked]>; FLS <[email-masked]>
Subject: medical opinion//training exam //amal //solidarity//aubmc//24a3190// hysteroscopy

 Dear Drs,

Kindly find below the case of mrs Amal 29 years old ,subject to underwriting with continuity. Inception date 1/07/ 2023 He requires admission for hysteroscopy: r/o uterine septum as per mri results :  Clinical Indication
RULE OUT SEPTUM
Multiplanar multisequence images of the pelvis were obtained pre and post contrast
administration.
Comparison
None.
Findings
The uterus is anteverted anteflexed and shows normal zonal anatomy.
The uterus is bicavitary with a flat fundal contour.
There is a septum which extends to the lower uterine segment. The upper half of the
septum is composed of myometrial tissue and measures approximately 2.6 cm in length.
The lower half is composed of fibrous tissue and measures approximately 1.4 cm in length.
Findings are consistent with a partial septate uterus.
The ovaries are normal in size and signal intensity.
No enlarged pelvic lymph nodes.
Impression
Partial septate uterus

 please advice your medical opinion regarding the necessity of the procedure and :

1 -if the case related to infertility or congenital since the patient married since august 2023 and no children .to know the input on our visa if congenital covered up to 5000 usd and if infertility covered up to 2000 usd .

2 -cpt code indicated ?

Case summary for medical opinion

Patient's Name

Mrs amal

Reference number

24a3190

DOB

29yo

Insurer

Solidarity gold

Individual/Group/Group name

 individual

Product/Class

a+nssf

Underwriting

yes

Inception Date

01/07/2023

Continuity to date

Yes

Imported From

n/a

Provider Name

aubmc

Special Limitation/Exclusions

n/a

Procedure

hysteroscopy

Approximated Estimation Cost

1500usd

CPT Codes

56353

Physician's Name +Mobile

Said mekkawi

Prosthesis Cost(When applicable)

n/a

Prosthesis Coverage as per TOB

n/a

Admission Date

 29/10/2024

Circumstances Of Trauma

n/a

Medical Decision

ICD 10

Approved Procedure:

Specific Remarks:

Regards

Mohamad Issa

[Test sad asdasd]

(+961) 1   492 249

(+961)

www.mednetliban.com<http://www.mednetliban.com/>

Mohamad.Issa<mailto:[email-masked]>@mednetliban.com<mailto:[email-masked]>