Breast reduction surgery is a covered benefit if determined medically necessary by an IPA Physician. Breast reconstruction post- mastectomy is also covered; ... |
22 апр. 2024 г. · Yes, if you meet their list of requirements and receive a pre-authorization. We'd recommend talking over these requirements with your doctor. |
1 сент. 2024 г. · Some protocols on the medical necessity of breast reduction are based on the weight of removed breast tissue. The basis of weight criteria is ... |
Cosmetic/reconstructive surgery is in benefit if performed to restore bodily function, to correct congenital deformities, or for conditions resulting from ... |
The request for surgery must include: the individual's height and weight; the size and shape of the breast(s) causing symptoms; the anticipated amount of breast ... |
The estimated amount of natural breast tissue to be removed per breast meets ONE (1) of the following criteria: 1. Based on the patient's body surface area ... |
The AMA recommends the use of CPT code 19303 for the treatment or prevention of breast cancer. It recommends CPT code 19318 for reduction mammaplasty when ... |
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1 нояб. 2024 г. · Reduction mammaplasty is the surgical excision of a substantial portion of the breast, including the skin and underlying glandular tissue, until ... |
1 мар. 2022 г. · I think a certain amount needed to be taken off and I was on the cusp of their requirements (under by 100cc on one boob) but still got covered. |
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