Metal Testing

Q: Should I be tested for an allergy to the metal?

A: This is a good question. Currently, there are no proven tests that correlate with the development of an allergy to the implant. However, if you have a history of a reaction to dental fillings, reactions to metal jewelry, implants, or cement, please do mention this to Dr. Jacob at the time of your consult.

Q: I have an allergy or sensitivity to metal. Are there implants that do not contain metal?

A: Yes, there are implants that are free from metal. Dr. Jacob will speak to you about your options at your consultation visit if this is a concern that you have.

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Q: I am not sure if I have an allergy of sensitivity to metal. Can I be tested for this?

A: Yes, Dr. Jacob’s office uses as specialty lab to accomplish this testing.

Q: How much does the test cost?

A: The cost of metal ion testing varies depending on the panel you choose. Please call the office to verify costs (as the laboratory costs change) prior to requesting testing

Q: Do you bill my private insurance company for metal sensitivity testing?

A: No. we do not bill private insurance companies for this testing and payment in full is required prior to the sample being collected.

Q: Do you bill medicare for metal sensitivity testing?

A: Yes. The lab will submit claims for Medicare patients as long as Medicare is the primary insurance and not a Medicare Advantage plan managed by a private insurer. Note: Medicare patients must sign an “Advanced Beneficiary Notice” form (included in kit) and submit a copy of their Medicare card.

Q: Can I submit my claim to my insurer and attempt to get reimbursed?

A: Absolutely. We will provide you with a copy of your results and an itemized paid invoice (including our procedure code) that you can submit to your insurance company and seek reimbursement for the test. Private insurance reimbursement for the metal sensitivity testing varies greatly by individual healthcare plan and carrier based on medical necessity. While some patients are routinely fully reimbursed, others have received partial reimbursement or no reimbursement at all.

Q: What type of metal is in my implant?

A: There are generally three different main types of metals (Cobalt, Titanium and Steel based) that are used in orthopedics. The following list of five different alloys show the percent ranges of metals that are in each kind of common implant alloy.