Health Net Reconstructive Surgery Requirements
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Clinical Policy: Cosmetic and Reconstructive Surgery - Health Net
(Just Now) People also askIs reconstructive surgery medically necessary?Policy/Criteria I. It is the policy of Health Net of California that reconstructive surgery is medically necessary Surgery to correct congenital defects that cause significant functional deficiencies or challenges of any body part, developmental abnormalities, degeneration defects, trauma, infections, tumors or diseaseClinical Policy: Cosmetic and Reconstructive Surgeryhealthnet.comWhat is the recovery period for netting for uterine prolapse?Dr. Himabindu Sreenivasulu
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Health Net Medical Policies Health Net
(7 days ago) WEBReconstructive Surgery after Mastectomy. California Health and Safety Code 1367.6 requires treatment for breast cancer to cover prosthetic devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a …
https://www.healthnet.com/content/healthnet/en_us/providers/working-with-hn/medical_policies.html
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Clinical Policy: Cosmetic and Reconstructive Surgery - Health …
(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 devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a mastectomy. 2.
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Provider Forms and Brochures - Health Net
(1 days ago) WEBCalifornia Health and Safety Code 1367.63 requires health care service plans to cover reconstructive surgery. "Reconstructive surgery" means surgery performed to correct or repair abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease to do either of the following: 1.
https://www.healthnet.com/portal/provider/formsBrochures.action%3Fgroup%3Dprov_rx
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Maximum Allowable Amount Estimate Health Net
(1 days ago) WEBCalifornia Health and Safety Code 1367.63 requires health care service plans to cover reconstructive surgery. "Reconstructive surgery" means surgery performed to correct or repair abnormal structures of the body caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease to do either of the following: 1.
https://www.healthnet.com/portal/provider/procedureCostEstimateForm.ndo
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Clinical Policy: Gender Affirming Procedures - Health Net
(Just Now) WEB13. Voice modification surgery, therapy, or lessons. It is the policy of Health Net of California to consider voice modification surgery (such as laryngoplasty or shortening of the vocal cords) related to transgender dysphoria, aaccording to the following: a. Voice deepening surgery (eg thyroplasty) is considered medically necessary if
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Reconstructive Surgery Decision Tree - Health Net California
(1 days ago) WEBTitle: Reconstructive Surgery Decision Tree Author: Health Net Subject: 19813-Reconstructive Surgery Decision Tree_rebrand.pdf Created Date: 7/15/2009 9:36:32 AM
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Prior Authorization - Health Net
(3 days ago) WEBrequests, such as requests for reconstructive surgery or repair, require submission of non-returnable color photos, models or X-rays). Prior authorization requirements and forms Allow 14 calendar days for routine organization determinations and 72 hours for expedited organization determinations. Emergency services do not require prior
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Prior Authorization Requirements - Health Net California
(4 days ago) WEBThe following services, procedures and equipment are subject to prior authorization (PA) requirements (unless noted as notification required only), as indicated by “X” under the applicable line of business. If “X” is not present, PA may not be required, or the service, procedure or equipment may not be a covered benefit.
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Prior Authorization Requirements - Health Net California
(6 days ago) WEBThe Request for Prior Authorization form must be completed in its entirety and include sufficient clinical information or notes to support medical necessity for services that are requested. CONTACTS. Employer group. 800-977-7282; fax:800-793-4473 Online submission: provider.healthnet.com.
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State of California—Health and Human Services Agency
(3 days ago) WEBMCPs must also provide reconstructive surgery to all members, including transgender members. The analysis of whether or not a surgery is considered reconstructive surgery is separate and distinct from a medical necessity determination. State law defines reconstructive surgery as “surgery performed to correct or repair abnormal structures of
https://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2020/APL20-018.pdf
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Dr. David Hill, MD, Cosmetic, Plastic & Reconstructive Surgery
(4 days ago) WEBDr. David Hill, MD is a Cosmetic, Plastic & Reconstructive Surgery Specialist in Alpharetta, GA and has 11 years experience. They graduated from American University of The Caribbean School of Medicine in 2013 and completed a residency at Houston Methodist Hospital Plastic and Reconstructive Surgery Residency.They currently …
https://www.sharecare.com/doctor/dr-david-hill-y9qbytz
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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; single lesion (e.g., keratosis, scar) (CPT code 15786). Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure) (CPT code 15787).
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Clinical Policy: Cosmetic and Reconstructive Surgery - Health …
(8 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 devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a mastectomy.
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Medical Policies - Health Net
(Just Now) WEBReconstructive Surgery after Mastectomy California Health and Safety Code 1367.6 requires treatment for breast cancer to cover prosthetic devices or reconstructive surgery to restore and achieve symmetry for the patient incident to a mastectomy. Coverage for prosthetic devices and reconstructive surgery shall be subject to the copayment, or
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Dr. Robert Davoudi, MD, Cosmetic, Plastic & Reconstructive …
(2 days ago) WEBDr. Robert Davoudi, MD is a cosmetic, plastic & reconstructive surgery specialist in Duluth, GA. He currently practices at Atlantic Center for Plastic and Cosmetic Surgery and is affiliated with Northside Hospital Gwinnett. He accepts multiple insurance plans. Dr. Davoudi is board certified in Plastic Surgery.
https://www.sharecare.com/doctor/dr-robert-m-davoudi
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Cosmetic and Reconstructive Procedures - UHCprovider.com
(Just Now) WEBCosmetic Surgery: Cosmetic Surgery is performed to reshape normal structures of the body in order to enhance an individual’s appearance and self-esteem (Freeman., 2023). Functional or Physical Impairment: A functional or physical or physiological impairment causes deviation from the normal function of a tissue or organ.
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Reconstructive Surgery TRICARE
(8 days ago) WEBRevision of disfiguring and extensive scars resulting from neoplastic surgery (i.e., surgery that removes a tumor or cyst) Reconstructive breast surgery following a medically necessary. To be medically necessary means it is appropriate, reasonable, and adequate for your condition. mastectomy.
https://tricare.mil/CoveredServices/IsItCovered/ReconstructiveSurgery.aspx?p=1
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Plastic Surgeons Near Me in Alpharetta, GA Healthgrades
(Just Now) WEBDr. Mike Majmundar, MD. Cosmetic, Plastic & Reconstructive Surgery. 3.9 (48 ratings) Patients Tell Us: Easy scheduling. Employs friendly staff. Explains conditions well. View Profile. 11681 Haynes Bridge Rd # 200 Alpharetta, GA 30009.
https://www.healthgrades.com/cosmetic-plastic-reconstructive-surgery-directory/ga-georgia/alpharetta
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101 Facial Reconstructive Surgery doctors in Alpharetta, GA
(8 days ago) WEBLooking for Facial Reconstructive Surgery doctors in Alpharetta, GA? See top doctors, read unbiased reviews from real people, check out before and after photos, and ask questions at RealSelf.
https://www.realself.com/find/Georgia/Alpharetta/Facial-Reconstructive-Surgery
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Dr. Joseph Pariser, MD - Minneapolis, MN - M Health Fairview
(9 days ago) WEBM Health Fairview Plastic and Reconstructive Surgery Clinic Minneapolis. 909 Fulton Street Southeast phone: 612-624-9707; fax: 612-676-5036; M Health Fairview Urology Clinic Minneapolis. 909 Fulton Street Southeast, Floor 4 Group Health Cooperative of Eau Claire; Health Net Federal Services/TriCare; HealthPartners; Hennepin Health;
https://providers.mhealthfairview.org/provider/Joseph+Pariser/2239932
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Marie-Claire Buckley , MD - M Health Fairview
(5 days ago) WEBM Health Fairview Wound Clinic Edina. 6545 France Avenue Get Directions; phone: 952-915-8770; fax: 952-915-8771; M Health Fairview Plastic and Reconstructive Surgery Clinic Minneapolis. 909 Fulton Street Southeast, Floor 4, Minneapolis, MN Group Health Cooperative of Eau Claire; Health Net Federal Services/TriCare; HealthPartners
https://providers.mhealthfairview.org/provider/Marie-Claire+Buckley/2240314
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Facelift Franciscan Health
(8 days ago) WEBThe plastic surgeons at Franciscan Health have helped hundreds of patients regain a youthful appearance with facelift surgery (rhytidectomy). Performed by a highly trained and skilled plastic surgeon, a facelift can take years off a person’s facial appearance. Your surgeon may recommend combining a facelift with a neck lift, which targets
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Clinical Policy: Cosmetic and Reconstructive Surgery
(9 days ago) WEBIt is the policy of Health Net of California that reconstructive surgery is medically necessary for any of the following indications: A. Surgery to correct congenital defects that cause significant functional deficiencies or challenges of any body part, developmental abnormalities, degeneration defects, trauma, infections, tumors or disease
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How a medical recoding may limit cancer patients' options for …
(4 days ago) WEBThe federal government is reconsidering a decision that breast cancer patients, plastic surgeons, and members of Congress have protested would limit women's options for reconstructive surgery. On
https://www.cbsnews.com/news/breast-cancer-reconstruction-diep-flap-surgery-medical-bill-code/
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