United Health Care Breast Reconstruction Policy

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Breast Reconstruction – Commercial and Individual Exchange …

(3 days ago) WEBThe following procedures may be considered Reconstructive and Medically Necessary when performed with a breast Reconstructive Procedure: Creation of a nipple (by various techniques) and areola (tattooing) Mastopexy or breast reduction when required prior to …

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

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Cosmetic and Reconstructive Procedures - UHCprovider.com

(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 – UMR Medical Policy - UHCprovider.com

(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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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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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 …

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

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Breast Reconstruction Post Mastectomy - UHCprovider.com

(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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Breast Repair/Reconstruction Not Following Mastectomy – …

(9 days ago) WEBWomen's Health and Cancer Rights Act of 1998, § 713 (a): “In general - a group health plan, and a health insurance issuer providing health insurance coverage in connection …

https://docslib.org/doc/2385160/breast-repair-reconstruction-not-following-mastectomy-commercial-coverage-determination-guideline

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United Healthcare and Breast cancer - AARP Online Community

(6 days ago) WEBHonored Social Butterfly. 06-29-2017 08:58 PM. MDM44, I believe you are speaking about a UHC Medicare Advantage plan and yes, they do cover post …

https://community.aarp.org/t5/Medicare-Insurance/United-Healthcare-and-Breast-cancer/m-p/1877473

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Medical & Drug Policies and Coverage Determination …

(3 days ago) WEBEffective Date: 06.01.2018 – This policy addresses breast reduction surgries. Applicable Procedure Code: 19318. Breast Repair/Reconstruction Not Following Mastectomy – …

https://centercare.com/_uploads/Medical-Drug-Policies-and-Coverage-Determination-Guidelines-for-UHC.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 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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Reimbursement Policy Breast Reconstruction Following …

(3 days ago) WEB19357 Breast Reconstruction, Immediate or Delayed, with Tissue Expander, including Subsequent Expansion 19361 Breast Reconstruction with Latissimus Dorsi Flap, …

https://www.aapc.com/codes/webroot/upload/general_pages_docs/document/BreastReconMastectomy_NCD140-2_10022012.pdf

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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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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 – Community Plan Medical Policy

(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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Statement from President Joe - The White House

(4 days ago) WEBBut today’s rule comes at a time when access to reproductive health care is under attack following the Supreme Court’s decision to overturn Roe v. Wade. In …

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) WEBJoellen Sommer, 66, who lives in Manhattan, went for her annual breast cancer screening in March. But the clinic’s staff said that while her mammogram would …

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

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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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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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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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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 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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