Medicalnecessityguide.org

Home Health Care Services

WEBHome health services are considered medically necessary when all of the following criteria are met: The patient is considered homebound. The service is prescribed by the …

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URL: https://medicalnecessityguide.org/home-health/

Medical Food/Enteral Nutrition

WEBMedical food is food that is specially formulated and processed to meet the distinctive nutritional requirements of a disease or condition. It must be consumed or administered …

Category: Nutrition, Food, Medical Go Health

Brachioplasty / Arm Lift

WEBBrachioplasty, or arm lift, is generally considered cosmetic in nature and not medically necessary. However, as with other procedures involving the surgical removal of excess …

Category: Medical Go Health

Egg Freezing (Oocyte Cryopreservation)

WEBWhat is the age limit for egg freezing? Some health insurance companies do specify an age limit for medically necessary egg freezing. An example is the health plan that states that …

Category: Medical Go Health

Breast Reduction Surgery

WEBMedical necessity criteria for breast reduction surgery. The patient must be age 18 or older. Some health plans accept those age 16 or older, as long as they have reached breast …

Category: Medical Go Health

Whirlpools / Hot Tubs

WEBDocumentation of a condition for which whirlpool hydrotherapy may be considered medically necessary and part of the treatment plan: Pain. Muscle spasm. Impaired circulation. …

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Panniculectomy, Tummy Tuck, and Excess Skin Removal

WEBA panniculectomy is the surgical removal of fat and excess skin hanging from the lower part of the abdomen, called a panniculus or a pannus. This “apron” of excess fat and skin …

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Blepharoplasty / Eyelid Surgery

WEBMedical necessity criteria for blepharoplasty (eyelid surgery) Upper eyelid blepharoplasty may be considered medically necessary for the following indications: Significant …

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