FAQ

FAQ

Frequently asked Questions

1Which insurance companies are you contracted with?
  • Access Health Colorado (Child Health Plan Plus only)
  • Aetna
  • Aetna Medicare (SM) (HMO/Open Access HMO)
  • Aetna Medicare (SM) PPO
  • Aetna Medicare Connect Plus PPO
  • Averde
  • Anthem Blue Cross Blue Shield Blue Priority HMO
  • Anthem Blue Cross Blue Shield Blue Priority PPO
  • Anthem Blue Cross Blue Shield Commercial HMO
  • Anthem Blue Cross Blue Shield Commercial PPO
  • Anthem Blue Cross Blue Shield Pathway
  • Anthem Blue Cross Blue Shield Silver Pathway HMO (not Silver Pathway X HMO)
  • AARP
  • Broadspire
  • Cigna (not Cigna SureFit)
  • Cofinity
  • Colorado Choice
  • Corvel
  • GEHA
  • Humana (all plans except HMO-X)
  • Kaiser Permanente (Southern Colorado Provider Network only)
  • Medicare (with all supplements except Medicaid)
  • Prime Health Services
  • Rocky Mountain Health Plans Good Health/Vista (Statewide) Plan
  • Rocky Mountain Health Plans Summit Group Plans (Statewide)
  • Rocky Mountain Health Plans Range Exclusive
  • Rocky Mountain Health Plans Monument Health Network
  • Rocky Mountain Health Plans Child Health Plan Plus
  • Rocky Mountain Health Plans Medicare
  • Rocky Mountain Health Plans CNIC Self Funded
  • Secure Horizons
  • Tricare
  • United Healthcare
If you have an insurance company that is not in this list, we can also bill your insurance for out-of-network benefits if your plan has out-of-network benefits. You will likely be responsible for more than you would be responsible for if you chose an in-network provider.
2Will you bill my secondary insurance too?
Yes, we will bill your primary and secondary insurance companies if we are contracted with them. However, we will not bill your tertiary insurance company.
3Do I need a referral to see Dr. Martin?
If your insurance company requires a referral from your primary care physician (PCP) in order for you to see a specialist, then you must obtain a referral from your PCP before scheduling an appointment with Dr. Martin. If your insurance company does not require a referral to see a specialist, then no referral is required.
4Will I need to pay my copay at my appointment?
Yes, if your plan requires a copay, we will collect a copay at the time of your appointment in order to fulfill the requirements of our contract with your insurance company.
5Is regenerative medicine covered by my insurance?
No, at this time, we are not aware of any insurance companies that will pay for stem cells and PRF. Regenerative medicine is self-pay only. If we are contracted with your insurance company, we will bill your insurance for the initial visit with Dr. Martin. However, you will be responsible for paying for any stem cell and PRF treatments before your procedure.
6Will stem cell and PRF treatments count towards my deductible?
Sometimes. Some insurance companies will allow for regenerative medicine treatments to count towards deductibles; some insurance companies do not. If this is a deciding factor for you, we ask that you contact your insurance company to find out before scheduling your treatment.
7What does Dr. Martin treat with stem cells and PRF?
Dr. Martin can use stem cells and PRF to treat joints, ligaments, tendons, cartilage and the spine (including the disc and facet joints).
8Does Dr. Martin treat multiple sclerosis, spinal cord injuries, brain injuries, cancer, Alzheimer’s or Parkinson’s with stem cells?
No, Dr. Martin cannot treat these conditions with stem cells. Many of these treatments are illegal in the United States (e.g. using stem cells to treat MS and spinal cord injury), and others are outside the realm of Dr. Martin’s specialty (e.g. stem cell transplants to treat cancer).
9What levels of the spine does Dr. Martin treat/inject?
Dr. Martin treats all levels of the spine, including cervical, thoracic and lumbar. She does stem cell and PRF treatments, as well as steroid injections (covered by insurance).
10Does Dr. Martin implant spinal cord stimulators and intrathecal pumps?
No, Dr. Martin does not.
11Does Dr. Martin do spinal cord stimulator trials?
No.
12What sets Dr. Martin apart from other physiatrists?
Dr. Martin is an expert at properly diagnosing and appropriately and effectively treating patients. She completed medical school at Texas Tech University, including clinical training in El Paso, Texas; PM&R residency at Baylor University Medical Center in Dallas; and a one-to-one fellowship with Dr. Lawrence Frank, an expert in the diagnosis and treatment of back, neck and joint conditions, as well as muscle and peripheral nerve injuries.
13Will I need multiple injections of PRF or stem cells in order to achieve healing?
Although each patient and injury is different, Dr. Martin usually sees excellent results with only one stem cell injection or PRF treatment. At times, a PRF booster can provide additional healing.
14Do you guarantee regenerative medicine treatment?
No guarantee is made or implied that healing, reduced pain or improved function will definitely occur with PRF or stem cells. While Dr. Martin thoroughly evaluates each patient and suggests considering regenerative medicine treatments only if she truly believes the treatment will significantly improve the patient's outcome, no medical treatment, including regenerative medicine, is ever guaranteed to cure a patient's ailment. Despite Dr. Martin's best attempts at selecting only individuals for regenerative medicine who have a strong chance of success with PRF or stem cells, we cannot guarantee that treatment will have the results that we desire. Furthermore, Dr. Martin will not treat a patient with regenerative medicine if a joint is unstable or if she believes a patient needs surgery.
15Does the BMA procedure hurt?
Dr. Martin numbs the area prior to retrieving bone marrow. Additionally, Dr. Martin is very gentle with all of her treatments. Most patients experience very little discomfort, describing the sensation as a “pressure.”
16Does the PRF injection hurt?
Before injecting, Dr. Martin numbs the area to be injected with a topical “freezing” menthol agent in order to reduce discomfort. The injection usually does not hurt patients at all until the area of injury is reached with the needle and PRF is injected into the region. At this point, there is sometimes some pain in the region, usually described as being similar to the regular level of pain in the area on a moderately painful day. After approximately 5-20 minutes, the pain usually returns to the pre-injection pain level. Our patients usually report a significant decrease in pain over the course of the next 7-14 days, with many patients reporting 50% or greater improvement in pain level. However, in one case of severe long-term pain and repeated injury, it took six weeks for healing and complete dissolution of pain to occur.
17Does the stem cell injection hurt?
Before injecting, Dr. Martin numbs the area to be injected with a topical “freezing” menthol agent in order to reduce discomfort. Stem cells usually do not create increased pain upon injection into the injured site. Many of our patients have reported 50% or greater improvement in pain levels as early as 7 days after the injection.
18How much time does Dr. Martin spend with patients?
Dr. Martin spends approximately 30-40 minutes with patients during new patient visits and 20-25 minutes with patients during follow-up appointments. Dr. Martin believes that it is important to spend enough time with patients to fully understand each patient’s situation and pain-generator in order to properly diagnose patients. Dr. Martin also takes the time to educate patients about their conditions and options.
19How early should I arrive for my appointment?
If you are a new patient, please either print and fill out the new patient paperwork ahead of time or arrive 20-30 minutes before your scheduled appointment to fill out the paperwork in the clinic. If you are an established patient, please arrive 5-10 minutes before your scheduled appointment to review any changes.
20What are your prices for the top 15 codes you bill for?
  • Established Office Visit Level 4 / CPT 99214
  • New Patient Office Visit Level 4 / CPT 99204
  • Transforaminal Epidural Steroid Injection Lumbar or Sacral / CPT 64483
  • Radiofrequency Neurotomy Lumbar or Sacral / CPT 64635
  • Epidurography / CPT 72275
  • Facet Joint Injection Single Level Lumbar or Sacral / CPT 64493
  • Radiofrequency Neurotomy Cervical or Thoracic / CPT 64633
  • Facet Joint Injection Single Level Cervical or Thoracic / CPT 64490
  • Moderate Sedation 15 minutes / CPT 99152
  • Radiofrequency Neurotomy Additional Level Lumbar or Sacral / CPT 64636
  • Established Patient Office Visit Level 5 / CPT 99215
  • Injection Procedure for Sacroiliac Joint In-Office / CPT 27096
  • New Patient Office Visit Level 5 / CPT 99205
  • EMG/NCS (5 or more muscles 3 or more nerves) / CPT 95886
  • Facet Joint Injection Second Level Lumbar or Sacral / CPT 64494