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LCD - Cosmetic and Reconstructive Surgery (L39051)

    https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=39051
    The American Society of Plastic Surgeons explains Plastic Surgery can include both reconstructive and cosmetic procedures. 1 Typically reconstructive surgery is considered medically necessary to restore function and normal appearance, and …

Reconstructive Surgery: What Is It & Different Types

    https://my.clevelandclinic.org/health/treatments/11029-reconstructive-surgery
    Reconstructive surgery repairs parts of your body affected by defects you were born with, defects that have developed because of disease, or defects caused by an injury. Cleft lip …

Medicare and Plastic Surgery: What It Does and Does …

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

    What's the difference between reconstructive and …

      https://www.plasticsurgery.org/news/blog/whats-the-difference-between-reconstructive-and-cosmetic-procedures
      Reconstructive plastic surgery. Reconstructive surgery is performed to restore function and normal appearance, and correct …

    Cosmetic Surgery and Procedures - Medical Clinical …

      https://www.aetna.com/cpb/medical/data/1_99/0031.html
      Vaginal rejuvenation procedures (clitoral reduction, designer vaginoplasty, hymenoplasty, re-virgination, G-spot amplification, pubic liposuction or lift, reduction of labia minora, labia …

    Medical Necessity Guidelines: Reconstructive and …

      https://tuftshealthplan.com/documents/providers/guidelines/medical-necessity-guidelines/reconstructive-cosmetic
      The plan may provide coverage for reconstructive surgery and procedures when they meet Medical Necessity Guidelines and are determined to be Medically …

    Is Your Reconstructive Plastic Surgery Medically Necessary?

      https://scottglovsky.com/blog/reconstructive-plastic-surgery-medically-necessary/
      Hopkinsmedicine.org states, “Reconstructive plastic surgery is done to correct facial and body abnormalities caused by birth defects, injury, disease, or aging.” …

    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) as …

    Medically Necessary Plastic Surgery: 6 Examples of …

      https://breastaugmentation.northtexasplasticsurgery.com/blog-medically-necessary-plastic-surgery-6-examples-of-when-it-makes-sense/
      Medically necessary plastic surgery procedures include (but are not limited to): 1. Craniofacial Surgery Craniofacial surgery is a sub-specialization of plastic …

    Cosmetic and Reconstructive Services and Procedures

      https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/c/cosmetic-reconstructive-services-procedures.pdf
      Reconstructive surgery is performed on abnormal structures of the body, caused by congenital defects, developmental abnormalities, trauma, infection, tumors, involutional …



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