Does Medicare Cover Breast Reconstruction After Lumpectomy

Breast Surgery - HealthPartners
•reconstructive breast surgery following mastectomy/ lumpectomy •reconstructive breast surgery for Poland Syndrome is used for soft tissue replacement for breast reconstruction after mastectomy. It Medicare Products if Medicare requires different coverage. ... Get Doc

Medical Necessity Guidelines - Tufts Health Plan
Medical Necessity Guidelines: Breast Reconstruction for Severe Breast Asymmetry1 Effective: Coverage of breast reconstruction after mastectomy is covered without prior authorization according This guideline does not apply to Tufts Medicare Preferred HMO, ... Read Full Source

Cigna Medical Coverage Policy
Lumpectomy in the opposite breast : Cigna does not cover an external breast prosthesis or mastectomy bra for any other indication because each is considered not medically necessary. Breast reconstruction after mastectomy has ... Content Retrieval

Breast Reconstruction Following Mastectomy
Breast Reconstruction Following Mastectomy (NCD 140.2) lumpectomy, coverage in accordance with Medicare guidelines is to be provided as Medicare does not have a National Coverage Determination (NCD) which address ... Return Doc

National Medical Policy - Health Insurance & Medicare ...
National Medical Policy Subject: Prophylactic Mastectomy Policy Number: The Centers for Medicare & Medicaid Services (CMS) with a high risk of hereditary breast cancer when they meet the following criteria. ... Doc Retrieval

Medical Coverage Policy Breast Prosthesis And Mastectomy Bras ...
Medical Coverage Policy Breast Prosthesis and Mastectomy Bras I. Reconstruction of the breast on which the mastectomy has been performed; External breast prosthesis replaces the breast or partial breast following mastectomy or lumpectomy. ... View This Document

Breast Cancer Screening - Wikipedia
Breast cancer screening is the medical screening of asymptomatic, As of 1998, Medicare History of previous lumpectomy or breast biopsy surgeries; Axillary metastasis with an unknown primary tumor; ... Read Article

Breast Implants And Reconstruction - EmblemHealth
Breast reconstruction: The plan does not cover silicone implant removal if autoimmune disease was diagnosed in the presence of silicone implant, as no causal relationship has been established between Breast Implants and Reconstruction ... Retrieve Content

Breast Reconstruction Post Mastectomy - OXHP
Breast Reconstruction Post Mastectomy Page 1 of 8 (lumpectomy, tylectomy, quadrantectomy, and segmentectomy), Breast reconstruction or scar revision after breast biopsy or removal of a cyst with or without a biopsy usually ... Access Doc

Breast Reconstruction Post Mastectomy
Breast Reconstruction Post Mastectomy Page 3 of 8 Breast reconstruction or scar revision after breast biopsy or removal of a cyst with or without a biopsy usually Mastectomy includes partial (lumpectomy, tylectomy, quadrantectomy, and segmentectomy), ... View Full Source

National Medical Policy - Health Insurance & Medicare ...
National Medical Policy Subject: Breast Reconstructive Surgery Policy Number: NMP492 http://www.cms.gov/medicare Breast Reconstruction (140.2 Health Net, Inc. considers reconstructive breast surgery medically necessary after a mastectomy or a lumpectomy which results in a significant ... Fetch Doc

Breast Reconstruction - University Of Michigan
Breast reconstruction is the process of making a new breast after a woman has had her breast(s) removed due to Breast reconstruction may help you to feel better about your body: lumpectomy, then two weeks later ... Retrieve Here

Cigna Medical Coverage Policy - SuperCoder
Cigna Medical Coverage Policy . Subject Breast Reconstruction Following Mastectomy or Lumpectomy Cigna does not cover ANY of the following products * when used in association with a breast Breast reconstruction after mastectomy has ... Content Retrieval

Breast Reconstructive Surgery - UCare® - UCARE
More than 96,000 breast cancer patients in the United States undergo breast reconstruction each year after mastectomy or lumpectomy. the skin does not cover the entire implant, Breast Reconstructive Surgery ... Doc Viewer

Medicare C/D Medical Coverage Policy Breast - BCBSNC
Medicare Part C Medical Coverage Policy Breast Reduction Origination: September 8, 1988 Review Date fitted prosthesis or reconstruction therapy at the site of the absent breast; 3. Medicare Local Coverage Determination for Cosmetic and Reconstructive Surgery ... Read Full Source

Breast Related Procedures - Priority Health
BREAST RELATED PROCEDURES* Effective Date: June 19, 2017 Review Dates: 8/07, 8/08, 8/09 Some women will opt for immediate breast reconstruction after mastectomy, while some may prefer delayed FF POS and Medicare . C. Breast Reconstruction and Revision ... Return Document

What You Need To Know About Breast Reconstruction Surgery
What You Need to Know About Breast Reconstruction Surgery What kind of surgery is available for breast cancer patients? • Lumpectomy-having the tumor and the area around the tumor removed. American Cancer Society Breast Reconstruction After Mastectomy ... Get Content Here

RECONSTRUCTIVE MAMMAPLASTY AND CONTRALATERAL BREAST SURGERY ...
RECONSTRUCTIVE MAMMAPLASTY AND CONTRALATERAL BREAST SURGERY lumpectomy for breast cancer or following prophylactic mastectomy for benign disease/cancer risk. Most breast reconstruction patients are also breast cancer patients. ... Read Document