Anthem Blue Cross Blue Shield Breast Reduction Medical Necessity

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CG-SURG-71 Reduction Mammaplasty - Anthem

https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_d073867.html

When symptoms exist and cannot be alleviated by conservative methods (examples include pain medication, physical therapy, and skin ointments or powders), surgical intervention to reduce the size of the breasts may be indicated.Breast reduction …

Provider Medical Policies | Anthem.com

https://www.anthem.com/provider/policies/clinical-guidelines/

Medical Policies & Clinical UM Guidelines. There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and …

SURG.00023 Breast Procedures; including …

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

The presence of signs and symptoms related to the breast implant (for example, painful capsular contracture or rupture) may be used to establish the medical …

Does Blue Cross Blue Shield Cover Breast Reduction Surgery?

https://www.helpadvisor.com/medicare/blue-cross-blue-shield-breast-reduction

Generally, some Anthem Blue Cross Blue Shield policies may cover breast reduction in the following circumstances: To address breast asymmetry following a …

Will/how to get Anthem Blue Cross Blue Shield cover …

https://www.realself.com/question/los-angeles-ca-anthem-blue-cross-blue-shield-cover-breast-reduction-asymmetric

In addition, most insurances in order to approve the surgery, will require for 2-3 letters of medical necessity (from your chiropractor, primary doctor, OBGYN, …

MEDICAL POLICY - BREAST REDUCTION FOR …

https://www.bcbsm.com/amslibs/content/dam/public/mpr/mprsearch/pdf/76979.pdf

Breast reduction (also referred to as reduction mammaplasty) is a surgical procedure designed to remove a variable proportion of breast tissue to address emotional and …

Provider Policies, Guidelines and Manuals | Anthem.com

https://www.anthem.com/provider/policies/

We’re committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for …

RAD.00036 MRI of the Breast - Anthem

https://www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_a053263.html

MRI of the breast using scanners equipped with breast coils to evaluate a documented breast abnormality prior to obtaining an MRI guided biopsy in individuals …

Will Anthem Blue Cross Blue Shield cover a breast …

https://www.realself.com/question/twin-falls-anthem-blue-cross-blue-shield-cover-breast-reduction

The criteria for insurance coverage of breast reductions varies depending on the insurance company, and on the specific insurance plans within that company. …

Reimbursement Policies | Anthem Blue Cross and Blue …

https://providers.anthem.com/ohio-provider/claims/reimbursement-policies

Anthem Blue Cross and Blue Shield Medicaid is the trade name of Community Insurance Company, an independent licensee of the Blue Cross and Blue Shield Association. …

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