I had to flunk a fair amount of tests to get my skin biopsy, once I actually got to a decent provider....and it took 10 years, at least of 'complaints' to finally get some one who actually thought I may be sick....this after a 55mph head on and a case of Lyme....Once I got to a decent provider, I had to flunk the tilt and the autonomic tests prior to getting skin biopsies. It was fine I had those tests as they would have done them anyway after the skin biopsies, to determine whether or not I had autonomic neuropathy, so either way, it was fine.

Also, they took 4 chunks of skin from me. I had to fork up skin at the ankle, the calf behind the knee, the inner thigh and the fore arm, which is the usual protocol, however, they can do other sites....including those glabrous ones we had a discussion about a while back. Below is the insurance take on what one needs to get the procedure, and pain due to suspected neuropathy, appears to be all these folks require. My insurance tends to want a bit more, like an arm and a leg....altho, I admit, they have paid for just about everything, so I can't complain....then again, I did have to go thru every algorithm (in circus terms, jump thru every hoop).

It is an interesting read, as they admit, SFN is grossly underdiagnosed. hmm....and that it may be cheaper to diagnose 'chronic pain patients' and get them out of the cycle of what they nicely infer as 'doc shopping' in different terms of course...oh and they also do admit, some neuropathy can be treated, altho they underplay the disabling effects it can have in some cases. Worth a read.

http://medpolicy.bluecrossca.com/pol...erve_test.html