Breast Reconstruction Medically Necessary

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Breast reconstruction with flap surgery - Mayo Clinic

https://www.mayoclinic.org/tests-procedures/breast-reconstruction-flap/about/pac-20384937

Breast reconstruction is a surgical procedure that restores shape to your breast after a mastectomy — surgery that removes your breast to treat or prevent breast cancer. Breast reconstruction with flap surgery involves taking a section of tissue from one area of your body — most often your abdomen — and … See more

Breast Reconstruction After Mastectomy

https://www.cancer.gov/types/breast/reconstruction-fact-sheet

All women who undergo mastectomy for breast cancer experience varying degrees of breast numbness and loss of sensation (feeling) because nerves that provide sensation …

Should I Get Breast Reconstruction Surgery? - American …

https://www.cancer.org/cancer/breast-cancer/reconstruction-surgery/should-i-get-breast-reconstruction-surgery.html

The cancer surgery and reconstruction surgery will leave scars on your breast and any areas where tissue was moved to create the new breast mound, such as the buttocks, …

Breast Reconstruction – UnitedHealthcare West …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/signaturevalue-mmg/breast-reconstruction-sv.pdf

Reconstructive breast surgery may be required after a lumpectomy or mastectomy for the treatment of breast cancer, to restore the normal appearance of the breasts. This can …

Breast Reconstructive Surgery - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/100_199/0185.html

Medically Necessary Procedures Medically necessary procedures include: Capsulectomy Capsulotomy Implantation of Food and Drug Administration (FDA)-approved internal …

Breast Reconstruction – Commercial Medical Policy

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

Treatment for complications post Mastectomy are covered and considered Medically Necessary for the following: Lymphedema, including the following: Complex …

NCD - Breast Reconstruction Following Mastectomy (140.2)

https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?ncdid=64

Reconstruction of the affected and the contralateral unaffected breast following a medically necessary mastectomy is considered a relatively safe and …

Medicare and Plastic Surgery: What It Does and Does …

https://www.healthline.com/health/medicare/does-medicare-cover-plastic-surgery

Medically necessary plastic surgery procedures include those that are needed as a result of injury, malformation, or breast cancer. What types of procedures …

SURG.00023 Breast Procedures; including …

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

Medically Necessary: Removal of implants partially or completely filled with Silicone Gel is considered medically necessary when there is documented implant …

Breast reconstruction and medical necessity - PubMed

https://pubmed.ncbi.nlm.nih.gov/25121414/

Breast reconstruction and medical necessity Breast reconstruction and medical necessity Ann Plast Surg. 2014 Sep;73(3):253.doi: 10.1097/SAP.0000000000000319. …

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