Rhinoplasty: Q&A
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I Have a Diagnosed Turbinate and Septum Issue and I Want a Rhinoplasty. Will I Get Fees Waived?
If the situation comes up as a fraud issue then ill have to have the surgeries seperated which is ridiculous. Any ideas? I already I have a preapproval for the septoplasty.
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15 Doctor Answers |
Asked by
student14811
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Insurance for Septorhinoplasty
Most insurance plans will pay for the septal and turbinate correction to improve nasal function. You will have to pay for any cosmetic changes. There will be no fraud issue.
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Combining medically necessary and cosmetic procedures
The turbinate and septum surgery lasts approximately a half an hour and the rhinoplasty lasts approximately an hour. The septoplasty and turbinate reduction are done out of medical necessity and are billed to the patient’s medical insurance for the time allotted to perform those specific procedures. This includes fees for the surgeon, operating room, and anesthesia. The rhinoplasty component of the procedure (operating room, surgeon’s fee, and anesthesia) is NOT billed...
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Combining Functional and Cosmetic Nasal Surgery
Thank you for your question about a topic that arises frequently. Functional nasal surgery (septoplasty, turbinate surgery) related to nasal breathing can be covered by medical insurance. That does not change the shape, size or external appearance of the nose. Check with your insurance carrier about any out of pocket expenses in the form of deductible and co-payments for which you may be responsible. Cosmetic changes to the appearance of the nose may be addressed with Rhinoplasty, which is...
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Rhino septoplasty and turbs
It is not at all unusual to have these procedures combined. Don't worry about the issue of fraud as long as you are honest about the insurance paying for the functional part and you paying for the cosmetic part. Just don't expect the insurance to cover all or even most of the cost. I am sure your plastic surgeon is used to dealing with this situation. You will likely be required to pay for at least the cosmetic portion before surgery.
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Simultaneous airway and cosmetic nasal surgery-fraud or not?
This is not an unusual situation. The insurance company will only be asked to cover the functional(airway) part of the procedure so the issue of fraud is not relevant.
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Rhinoplasty - cosmetic vs functional
Many rhinoplasties involve both functional improvements and cosmetic improvements. These are usually done at the same time; you would never want to have them done separately!
Most plastic surgeons who perform aesthetic improvements on the nose are very familiar with the 'inner workings' of the nose as well!
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Insurance For Rhinoplasty #nosejob
I do these cases all the time. If you have a functional issue and you have been approved and you also want cosmetic surgery as well you can do both at the same time without any fraud issues. It is very simple. The anesthesia team and nurses in the operating room will keep a non-cosmetic time clock and a cosmetic time clock. The appropriate portion will be billed to insurance and the other portion you are responsible for.
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Richard J. Brown, M.D., F.A.C.S.
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Rhinoplasty
If you ahve an airway issue and the insurance company will cover it, that will apply to that portion of the procedure. Any cosmetic work will have to be paid out of pocket.
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Rhinoplasty: Functional & Cosmetic
The functional portion (e.g. septoplasty and turbinate reduction) will be charged separately and can be covered under insurance minus the deductible and copays. The cosmetic portion will need to be paid out of pocket. Some insurance companies can take a long time to pre-approve the functional portion. Please consult with a board certified specialist who can assist you in achieving the results you seek.
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Septoplasty coverage with insurance
I agree with all of my colleagues replies to your question.
I would add that you should inquire with your insurance about your responsibility for copay and deductible costs for the septoplasty and turbinate.
Best Wishes
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I have a diagnosed turbinate and septum issue and want a rhinoplasty, will I get fees waived.
Hello, the functional portion of your procedures should be covered by insurance less any deductable or co-pays. Whenever there are any cosmetic changes that need to be made any reputable surgeon will not bill your insurance company and you will pay directly yourself.
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Rhinoplasty with functional issues
We get the question a lot. In most cases the insurance may pay for turbinate and septal surgery (with your usual deductibles applying) but will not pay for anything cosmetic.
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Combining Functional and Cosmetic Rhinoplasty
Dear student14811,
Nose reshaping surgery (eg. rhinoplasty, septoplasty, turbinate reduction, etc.) may be indicated for cosmetic and/or functional reasons.
Undergoing rhinoplasty for purely cosmetic reasons is rarely covered by health insurance. Undergoing nose reshaping surgery for functional reasons may be covered.
In situations like yours, where there is both a functional problem and a cosmetic concern, a functional septoplasty procedure may be combined with a...
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Combined rhinoplasty and septoplasty can save some money.
It is common to do a rhinoplasty at the same time as a septoplasty. Each will be considered a separate procedure according to your insurance company. If the insurance company is paying for the septoplasty it is possible to save a little money by adding on the rhinoplasty. You will still pay the rhinoplasty portion of the anesthesia, facility and surgeon's fee but it might save you a little money if you compare it to doing them at separate times.
Best Wishes
Dr....
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Functional septoplasty and cosmetic rhinoplasty billing
Hi,
A patient can choose to pay for the functional septoplasty and the cosmetic rhinoplasty bot out of pocket in cases where they dont have insurance or if they have bad insurance with poor coverage and high deductables.
If they have insurance, the functional portion (septoplasty and turbinate reductions) can be billed to insurance. When I operate, the nursing staff and anesthesiologists know exactly the amount of time I spend on the insurance...
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