Comments on: Mammoplasty. Take a load off. http://lookingood.com/2009/05/mammoplasty-take-a-load-off/ Because it isn't superficial if it works. Mon, 26 Mar 2012 00:14:36 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Lori http://lookingood.com/2009/05/mammoplasty-take-a-load-off/comment-page-1/#comment-847 Lori Tue, 29 Dec 2009 02:16:04 +0000 http://lookingood.com/?p=515#comment-847 In many cases, Breast Reduction is covered by insurance. There is criteria the patient must meet like neck and back pain, bra strap grooving, rashes, etc. A certain amount of grams must be also be removed from each breast. Each insurance company can differ in meeting criteria. For those of you interested in this procedure, you should contact your insurance company and give them this procedure code: 19318-50 Diagnosis code is 611.1 You should ask if this is a 'covered benefit under my contract.' You should also ask if pre-authorization is required for outpatient surgery (most reductions are performed as outpatient). It is also wise to ask for the medical policy related to this procedure code be emailed or faxed to you. I am a Patient Coordinator/Office Manager for a Plastic Surgeon in Birmingham, Michigan. In many cases, Breast Reduction is covered by insurance. There is criteria the patient must meet like neck and back pain, bra strap grooving, rashes, etc. A certain amount of grams must be also be removed from each breast. Each insurance company can differ in meeting criteria.

For those of you interested in this procedure, you should contact your insurance company and give them this procedure code: 19318-50 Diagnosis code is 611.1 You should ask if this is a ‘covered benefit under my contract.’ You should also ask if pre-authorization is required for outpatient surgery (most reductions are performed as outpatient). It is also wise to ask for the medical policy related to this procedure code be emailed or faxed to you.

I am a Patient Coordinator/Office Manager for a Plastic Surgeon in Birmingham, Michigan.

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