United Health Care Breast Reconstruction Policy

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Cosmetic and Reconstructive Procedures

(Just Now) WEBFor CPT codes 19316, 19325, and L8600, refer to the Medical Policy titled Breast Reconstruction. • For CPT codes 14000, 14001, 14041, 15734, and 15738, refer to the …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/cosmetic-and-reconstructive-procedures.pdf

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Breast Reconstruction Post Mastectomy

(9 days ago) WEBThis flap is tunneled to the chest to rebuild the breast. Mastectomy: Mastectomy is the removal of the whole breast. There are five different types of Mastectomy: "simple" or …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/comm-plan/breast-reconstruction-post-mastectomy-cs-08092019.pdf

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WHCRA - Women’s Health and Cancer Rights Act

(Just Now) WEBThis federal law requires most group insurance plans that cover mastectomies to also cover breast reconstruction. It was signed into law on October 21, 1998. The United States …

https://www.cancer.org/cancer/financial-insurance-matters/health-insurance-laws/womens-health-and-cancer-rights-act.html

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MEDICAL POLICY - RECONSTRUCTIVE BREAST …

(7 days ago) WEBReconstructive breast surgery is defined as a surgical procedure that is designed to restore the normal appearance of the breast after surgery, accidental injury, or trauma. The …

https://www.bcbsm.com/amslibs/content/dam/public/mpr/mprsearch/pdf/104974.pdf

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Clinical Policy: Cosmetic and Reconstructive Surgery

(7 days ago) WEBTo improve function or. To create a normal appearance, to the extent possible. California Health and Safety Code 1367.6 requires treatment for breast cancer to cover prosthetic …

https://www.healthnet.com/content/dam/centene/healthnet/pdfs/general/ca/policies/CosmeticandReconstructiveSurgery.pdf

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Breast cancer symptoms and treatment UnitedHealthcare

(4 days ago) WEBEarly breast cancer signs in women include things like: 4. A marble-like lump in your breast or underarm that doesn’t go away. Swelling in your armpit or near your collarbone. Pain and tenderness in either breast. A …

https://www.uhc.com/health-and-wellness/health-topics/cancer/breast-cancer

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Breast Reduction Surgery - Kelly R. Kunkel, M.D., P.A.

(2 days ago) WEBCalifornia requires that all breast reduction surgeries be reviewed for medical necessity. Coverage will be provided if the breast reduction meets the reconstructive criteria …

https://www.kunkelplasticsurgery.com/wp-content/uploads/2022/10/breast-reduction-surgery.pdf

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Breast Reconstruction – Community Plan Medical …

(7 days ago) WEBBreast reconstruction with deep inferior epigastric perforator (DIEP) flap or superficial inferior epigastric artery (SIEA) flap, including harvesting of the flap, microvascular …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan/breast-reconstruction-cs.pdf

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Breast Reconstruction – UMR Medical Policy

(3 days ago) WEBTissue expander placement in breast reconstruction, including subsequent expansion(s) 19361 . Breast reconstruction; with latissimus dorsi flap : 19364 . Breast …

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

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Breast Reduction Surgery – Commercial Medical Policy

(1 days ago) WEBMost UnitedHealthcare plans have a specific exclusion for breast reduction surgery except as required by the Women's Health and Cancer Rights Act of 1998. Refer to the …

https://www.012397.com/content/dam/provider/docs/public/policies/comm-medical-drug/breast-reduction-surgery.pdf

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Breast Reconstructive Surgery - United Breast Cancer Foundation

(9 days ago) WEBBreast Reconstructive Surgery. The cost of breast reconstruction surgery can be prohibitive, particularly for those who are uninsured, underinsured, or subject to high out …

https://www.ubcf.org/programs-services/breast-reconstructive-surgery/

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Plastic surgeons challenge UnitedHealthcare breast reconstruction

(2 days ago) WEBA group of plastic surgeons hit UnitedHealthcare with a proposed class action on Monday, alleging the nation's largest insurer "routinely and consistently" …

https://www.modernhealthcare.com/insurance/unitedhealthcare-faces-second-possible-class-action-denials

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Statement from President Joe Biden on Final Rule to Strengthen …

(4 days ago) WEBThe new protections that my Administration is putting in place are an important step forward in our fight to protect access to reproductive health care and ensure …

https://www.whitehouse.gov/briefing-room/statements-releases/2024/04/22/statement-from-president-joe-biden-on-final-rule-to-strengthen-privacy-protections-for-reproductive-health-care/

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Cosmetic and Reconstructive Procedures - UHCprovider.com

(8 days ago) WEBo For states with no LCDs/LCAs, refer to the UnitedHealthcare Commercial Medical Policy titled Breast Reconstruction for coverage guidelines. Note: After checking the . …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/cosmetic-reconstructive-procedures.pdf

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Some Older Women Need Extra Breast Scans. Why Won’t …

(9 days ago) WEBMammograms can miss tumors in women with dense breast tissue. So for these patients, doctors often include a second scan — ultrasound, for example, or an …

https://www.nytimes.com/2024/04/19/health/dense-breast-mammograms-medicare.html

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BREAST RECONSTRUCTION POST MASTECTOMY (FOR …

(3 days ago) WEBReconstruction of the breast on which the Mastectomy was performed. Surgery and reconstruction of the other breast to produce a symmetrical appearance, including …

https://ldh.la.gov/assets/medicaid/MCPP/6.9.20/509_UHC-BreastReconstructionPostMastectomy.pdf

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BREAST RECONSTRUCTION POST MASTECTOMY

(7 days ago) WEBThe following are eligible for coverage as reconstructive and medically necessary: In accordance with Women’s Health and Cancer Rights Act of 1998, the following services …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/breast-reconstruction-post-mastectomy-08092019.pdf

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Cosmetic and Reconstructive Services and Procedures

(7 days ago) WEBFor coverage guidelines, refer to the UnitedHealthcare Commercial Medical Policy titled Cosmetic and Reconstructive Procedures located in the References section. Abrasion; …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/c/cosmetic-reconstructive-services-procedures.pdf

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Breast Reconstruction – UnitedHealthcare West Medical …

(7 days ago) WEBFor breast reconstruction after mastectomy with or without a diagnosis of cancer in accordance with the Women’s Health and Cancer Rights Act of 1998 (refer to . Benefit …

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

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Breast Repair/Reconstruction Not Following Mastectomy

(3 days ago) WEBReplacement of an existing breast implant if the earlier breast implant was performed as a Cosmetic Procedure. (Replacement of an existing breast implant is considered …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/breast-repair-reconstruction-not-following-mastectomy-08092019.pdf

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Breast Reduction Surgery - UHCprovider.com

(6 days ago) WEBMost UnitedHealthcare plans have a specific exclusion for breast reduction surgery except as required by the Women's Health and Cancer Rights Act of 1998. Refer to the …

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

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Cosmetic, Reconstructive, or Plastic Surgery - UHCprovider.com

(5 days ago) WEB(1) All stages of reconstruction of the breast on which the mastectomy has been performed; (2) Surgery and reconstruction of the other breast to produce symmetrical …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/signaturevalue-bip/cosmetic-reconstructive-plastic-surgery-ok.pdf

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Cosmetic and Reconstructive Procedures - UHCprovider.com

(4 days ago) WEBReconstructive Surgery is commonly performed to restore function but may also be performed to approximate a normal appearance (Freeman, 2023). Cosmetic and …

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan/cosmetic-and-reconstructive-procedures-cs.pdf

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