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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Breast Reconstruction and Health Insurance - Breastcancer.org

(4 days ago) WEBBreast reconstruction procedures should be covered by your health insurance plan, whether they are done right away or many years later. Learn more.

https://www.breastcancer.org/treatment/surgery/breast-reconstruction/paying-for-reconstruction

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Women's Health and Cancer Rights Act (WHCRA) CMS

(4 days ago) WEBThe Women's Health and Cancer Rights Act of 1998 (WHCRA) is a federal law that provides protections to patients who choose to have breast reconstruction in connection with a mastectomy.If WHCRA applies to you and you are receiving benefits in connection with a mastectomy and you elect breast reconstruction, coverage must be …

https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/whcra_factsheet

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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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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 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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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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Notice of certain mandatory benefits - UnitedHealthcare

(Just Now) WEBNOTICE OF SPECIAL TOLL-FREE COMPLAINT NUMBER. TO MAKE A COMPLAINT ABOUT A PRIVATE PSYCHIATRIC HOSPITAL, CHEMICAL DEPENDENCY TREATMENT CENTER, OR PSYCHIATRIC OR CHEMICAL DEPENDENCY SERVICES AT A GENERAL HOSPITAL, CALL: 1-800-832-9623 Your complaint will be referred to the state agency …

https://www.uhc.com/content/dam/uhcdotcom/en/Legal/required-state-notices/TX-Notice-of-certain-mandatory-benefits-EN.pdf

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Breast Reconstruction Disparities in the United States and

(Just Now) WEBPurpose of Review Women electing to undergo breast reconstruction following mastectomy have increased in frequency. Classically studied healthcare …

https://link.springer.com/article/10.1007/s12609-020-00366-z

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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 – 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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Breast Reconstructive Surgery - United Breast Cancer …

(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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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 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 identified below. Under certain circumstances, breast reconstruction may be covered for the surgical treatment of gender dysphoria.

https://www.kunkelplasticsurgery.com/wp-content/uploads/2022/10/breast-reduction-surgery.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 member’s specific plan document for applicable coverage. Breast reduction surgery is considered reconstructive and medically necessary in certain circumstances.

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

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Does UnitedHealthcare Cover Breast Reduction? HelpAdvisor.com

(1 days ago) WEBMost UnitedHealthcare policies don't cover breast reduction surgery. However, UnitedHealthcare may cover breast reduction surgery if it's required following …

https://www.helpadvisor.com/medicare/united-healthcare-breast-reduction

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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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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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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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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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