Transcription of Cosmetic and Reconstructive Services and Procedures
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Cosmetic and Reconstructive Services and Procedures
Cosmetic and Reconstructive Services and Procedures Page 1 of 17 UnitedHealthcare Medicare Advantage Policy Guideline Approved 07/14/2021 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services , Inc. UnitedHealthcare Medicare Advantage Policy Guideline Cosmetic and Reconstructive Services and Procedures Guideline Number: Approval Date: July 14, 2021 Terms and Conditions Table of Contents Page Policy Summary .. 1 Applicable Codes .. 5 Definitions .. 11 Questions and Answers .. 13 References .. 13 Guideline History/Revision Information .. 16 Purpose .. 16 Terms and Conditions .. 16 Policy Summary See Purpose Overview The purpose of this policy is to clarify coverage of Cosmetic vs. Reconstructive surgical Procedures . Section 1862(a) (1) (A) of Title XVIII of the Social Security Act provides in part that ".
• If a non-covered cosmetic surgery is performed in the same operative period as a covered surgical procedure, benefits will ... payable post-mastectomy reconstruction, or for reconstruction following trauma or removal of cancer from an eyelid, ... intranasal cicatrix, dislocated nasal bone fractures, turbinate hypertrophy); o Treat nasal ...
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