Medical Policy Nipple Prosthesis

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HIGHMARK COMMERCIAL MEDICAL POLICY

https://securecms.highmark.com/content/medpolicy/en/highmark/pa/commercial/policies/Surgery/S-129/S-129-028.html

Nipple prosthesis, reusable, any type, each. Custom artificial devices. NOTE: When the implantable breast prosthesis is provided by the hospital, the charge should be billed as a hospital expense. When the physician incurs the cost of the breast …

Mastectomy and Reconstructive Surgery | BCBSND

https://www.bcbsnd.com/providers/policies-precertification/medical-policy/m/mastectomy-reconstructive-surgery

Jul 1, 2018

Article - External Breast Prostheses - Policy Article …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52478&ContrID=140

non-medical necessity coverage and payment rules For any item to be covered by Medicare, it must 1) be eligible for a defined Medicare benefit category, 2) be …

Medical Policy - Highmark® Health Options

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/medical-policies/hho-de-mp-1027-breastreconstructivesurgery-041922.pdf

Breast prosthesis, silicone or equal, with integral adhesive. Nipple prosthesis, reusable, any type, each. NOTE When the implantable breast prosthesis is provided by the …

External Breast Prosthesis - Medical Clinical Policy …

https://www.aetna.com/cpb/medical/data/1_99/0097.html

Replacements of nipple prostheses are considered medically necessary every 3 months; The medical necessity of more frequent replacements must be documented. Note: Some …

IBC Medical Policies

https://medpolicy.ibx.com/ibc/Commercial/Pages/Policy/f70b1728-177b-446a-bd24-0c8f2c5dc7ca.aspx

Following mastectomy, there is no restrictive time limit for coverage of reconstructive breast surgery or coverage of prosthetic devices that may be inserted during reconstructive …

Medical Coverage Policy Breast Reconstruction and …

https://www.bcbsri.com/sites/default/files/polices/BreastReconstructionandApplicableMandates_0.pdf

L8031 Breast prosthesis, silicone or equal, with integral adhesive L8032 Nipple prosthesis, reusable, any type, each L8035 Custom breast prosthesis, post …

Medical Coverage Policy | Cosmetic Services/Procedures

https://www.bcbsri.com/providers/sites/providers/files/policies/2019/04/2019%20Cosmetic%20Services%20Procedures.pdf

• Tattooing or tattoo removal (except tattooing of the nipple/areola related to a mastectomy) • Testicular prosthesis surgery • Treatment of vitiligo For coverage of procedures done …

Nipple Prosthetics 101 Everything You Need to Know

https://www.anaono.com/blogs/dressing-room/nipple-prosthetics-101-everything-you-need-to-know

Prostheses can be worn weeks after a mastectomy, breast reconstruction, or even nipple reconstruction. As an inexpensive and convenient alternative to surgery, because …

Pink Perfect Silicone Prosthetic Nipples | Ready …

https://www.pink-perfect.com/

Pink Perfect provides silicone prosthetic nipples for women who have undergone mastectomy and breast reconstruction with nipple removal. The silicone nipples are a true alternative to nipple tattoos after …

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