Breast reduction weight requirements

• Reduction Mammoplasty - Anthem

  Reduction mammoplasty involves removal of glandular, fatty, and skin tissue from the breast. Women presenting various forms of breast hypertrophy (for example, macromastia or gigantomastia) accompanied by persistent clinical signs and symptoms that adversely affect health are the principal candidates for breast reduction.

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• Breast Reduction FAQs | Washington University Physician

  All plans cover breast reduction surgeries that qualify under the Women’s Health and Cancer Rights Act of 1998. If a surgery does not qualify under the Women’s Health and Cancer Rights Act of 1998, some plans may allow breast reduction surgery if we determine the surgery will treat a …

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• Guidelines for Medical Necessity Determination for ...

  Requirements for a specific volume of reduction, a minimum age, a maximum body weight and a trial of conservative therapy are required by the majority of managed care medical policies, even though scientific support for any of these requirements is not evident in the medical literature.

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• [DOCX File]Sloane Street

  https://info.5y1.org/breast-reduction-weight-requirements_1_21df57.html

  Sep 16, 2019 · Breast Reduction and Mastopexy For members under the age of twenty-one (21), the following additional criteria must be met: a.Second surgical opinion in support of the procedure from a surgeon in a practice not affiliated with the first surgeon; and

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• [DOCX File]October 21, 2004 - Maine

  https://info.5y1.org/breast-reduction-weight-requirements_1_06fa73.html

  These Guidelines do not address excision of excessive breast tissue, i.e., mastopexy (CPT 19316), reduction mammaplasty (CPT 19318) or mastectomy for gynecomastia (CPT 19300). Providers should consult MassHealth regulations at 130 CMR 433.000 and 450.000, and Subchapter 6 of the Physician Manual for information about coverage, limitations ...

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• [DOC File]CMN - Reduction Mammoplasty

  https://info.5y1.org/breast-reduction-weight-requirements_1_af1468.html

  Breast asymmetry. Pendulousness. Problems with clothes fitting properly. Nipple-areola distortion. Psychological considerations. Request is for the use of liposuction to perform a breast reduction. Member’s height: Member’s weight: Size and shape of the breasts: Anticipated amount of breast tissue to be removed per breast:

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• [DOC File]Concise Purpose: To evaluate whether the criteria used by ...

  https://info.5y1.org/breast-reduction-weight-requirements_1_c75909.html

  Risk Reduction Counseling. Requirements Each participant must receive her baseline screening and rescreening results, interpretation of the results, and appropriate recommendations in accordance with national clinical care guidelines both in writing and verbally. Guidance Reimbursement

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• [DOC File]WISEWOMAN Program Guidance Document

  https://info.5y1.org/breast-reduction-weight-requirements_1_697abd.html

  Weight – Blood pressure tends to be elevated in overweight individuals. Weight reduction alone often causes blood pressure to drop. Treatment – The use of multiple anti-hypertensive medications usually indicates severe hypertension. Underwriting Requirements

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• [DOC File]Breast Reduction Surgery

  https://info.5y1.org/breast-reduction-weight-requirements_1_008fac.html

  Certificate of Medical Necessity Reduction Mammoplasty. Fax this completed Certificate of Medical Necessity form along with other required documentation including: symptoms and duration, patient’s height and weight, statement of anticipated amount of breast tissue to be removed per breast based upon body surface area in meters squared, documentation of conservative therapy and response (e.g ...

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• Mammapl crit v7

  combined risk ratio was 0.81 corresponding to a 19% reduction of breast cancer mortality for women invited to screening. compared to women not invited for screening, age 40 to 74 at entry. The independent UK panel . on breast meta-analysis suggested …

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