Does Blue Cross Blue Shield Texas cover Panniculectomy?

Blue Cross Blue Shield skin removal surgery coverage is usually restricted to panniculectomy procedure, which involves surgical removal of excess skin from the lower abdominal area. Criteria for coverage may include: The pannus (loose skin in the lower abdomen) hangs at or below the pubic line.

Will my stomach be flat after a Panniculectomy?

Unlike a tummy tuck, the panniculectomy does not tighten the abdominal muscles for a more cosmetic appearance, disqualifying it as a cosmetic procedure. However, removing the excess fat can make your abdominal area flatter.

Does a Panniculectomy include pubic area?

A panniculectomy only involves the removal of the pannus

pannus
Pannus is an abnormal layer of fibrovascular tissue or granulation tissue. Common sites for pannus formation include over the cornea, over a joint surface (as seen in rheumatoid arthritis), or on a prosthetic heart valve.
https://en.wikipedia.org › wiki › Pannus

or the hanging skin OVER the pubic region. A panniculectomy does NOT include the removal of the excess skin or fat of the pubic region.

Does insurance cover a Panniculectomy?

Since the panniculectomy is not typically seen as a cosmetic surgery, your insurance provider may help pay for the procedure. But, you must meet specific criteria, and the panniculectomy must be seen as a medical necessity. Contact your health insurance provider to discuss your payment options.

What makes skin removal medically necessary?

This type of surgery may be considered a medical necessity if the remaining skin affects your quality of life. For example, you may develop rashes, infections, and ulcers underneath the area of hanging skin.

Does insurance cover getting rid of loose skin?

Though heavy, excess skin left behind after weight loss can be considered a medical condition due to discomfort and increased risk for skin conditions, most insurance providers do not cover body lift surgery.

Does Blue Cross Blue Shield of Texas cover breast reduction?

Often, you'll be eligible for Blue Cross Blue Shield breast reduction coverage if your surgeon plans to remove at least 500 grams of breast tissue per breast. Alternatively, you may qualify if your breast size causes significant symptoms, such as: Long-term neck, shoulder or neck pain.

What is the ICD-10 code for abdominal pannus?

R19.

What is the ICD-10 code for cosmetic surgery?

ICD-10-CM Code for Encounter for cosmetic surgery Z41. 1.

What is another name for a Panniculectomy?

Panniculectomy and tummy tuck (abdominoplasty) are two surgical treatments aimed at removing excess lower belly skin. They may both be performed in cases of extreme weight loss from natural or surgical causes.

What is diagnosis code r63 4?

ICD-10 code R63. 4 for Abnormal weight loss is a medical classification

medical classification
A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding.
https://en.wikipedia.org › wiki › Medical_classification

as listed by WHO under the range – Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .

What surgery is best for a FUPA?

The definitive way to be completely rid of a FUPA, if you are done having kids, is a Tummy Tuck. During a Tummy Tuck procedure, I cut out the extra skin and fat that makes up the FUPA and I re-suspend that tissue on your abdominal wall.

Will my stomach be flat after a Panniculectomy?

Unlike a tummy tuck, the panniculectomy does not tighten the abdominal muscles for a more cosmetic appearance, disqualifying it as a cosmetic procedure. However, removing the excess fat can make your abdominal area flatter.

Where are the incisions in a Panniculectomy?

A panniculectomy requires a horizontally-oriented incision in the area between the pubic hairline and belly button. The shape and length of the incision will be determined by the amount of excess skin.

Does tummy tuck include mons pubis?

A tummy tuck doesn't include a pubic lift because it focuses on contouring the belly region, tightening the skin and muscles in your midsection. In some cases, the general trimming and contouring of your midsection can improve your pubic region's general appearance, though that isn't intentional.

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