Reconstructive Medical Policy

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Cosmetic and Reconstructive …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/cosmetic-and-reconstructive-procedures.pdf

LCD - Cosmetic and Reconstructive Surgery (L35090)

https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35090&DocID=L35090

The American Society of Plastic Surgeons explained plastic surgery may be reconstructive or cosmetic procedures. 1 Usually, reconstructive surgery is considered …

SURG.00023 Breast Procedures; including …

https://www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_a053315.html

Reconstructive: In this document, procedures are considered reconstructive when intended to address a significant variation from normal related to accidental injury, …

ANC.00008 Cosmetic and Reconstructive Services of …

https://www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_a050276.html

Reconstructive: In this document, procedures are considered reconstructive when intended to address a significant variation from normal related to …

MEDICAL POLICY - RECONSTRUCTIVE BREAST …

https://www.bcbsm.com/amslibs/content/dam/public/mpr/mprsearch/pdf/104974.pdf

Reconstructive breast surgery is surgery performed to restore the normal appearance of the breast after surgery, accidental injury or trauma. The most common indication for …

Billing and Coding: Cosmetic and Reconstructive Surgery

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=58573&LCDId=38914

Reconstructive Breast Surgery: Removal of Breast Implants. The medical record must describe the condition which supports the removal of the breast implant(s) …

Breast Reconstruction – Commercial Medical Policy

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/breast-reconstruction.pdf

The following procedures may be considered Reconstructive and Medically Necessary when performed with a breast Reconstructive Procedure: Creation of a nipple (by …

Cosmetic and Reconstructive Procedures - Medical Policies- Home

http://www.medicalpolicy.hcsc.net/medicalpolicy/archivePolicyPage?lid=k5az36qq&

Procedures are considered reconstructive and therefore may be considered medically necessary when: • There is documented evidence of physical functional …

Medical Policy Reconstructive Breast Surgery/Management …

https://www.bluecrossma.org/medical-policies/sites/g/files/csphws2091/files/acquiadam_assets/2023-01/428%20Reconstructive%20Breast%20Surgery-Management%20of%20Breast%20Implants%20prn.pdf

Reconstructive surgery (including but not limited to augmentation and reduction mammoplasty) may be considered MEDICALLY NECESSARY for Poland’s Syndrome …

MEDICAL POLICY - LUNG/DOUBLE LUNG AND …

https://www.bcbsm.com/amslibs/content/dam/public/mpr/mprsearch/pdf/2117515.pdf

Reference Manual, Policy # 7.03.7. Issue 8:2017. Original policy date 7/31/96. Last review date September 2022. 13. Blue Cross Blue Shield Association. Liver Transplant and …

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