I have done some extensive research and found only one person who was able to get her covered. Is this just whether the specialist codes it correctly or is this pretty unheard of?
September 29, 2014
Answer: Tuberous breast I have never had this covered on my patients in 23 years of practice as the insurance companies consider it not medically necessary as it does not effect your normal bodily function. Breast reduction can eliminate pain and other issues that cause long term bodily problems. Tuberous breast are a cosmetic issue for the most part. Coding will have nothing to do with insurance coverage.
Helpful
September 29, 2014
Answer: Tuberous breast I have never had this covered on my patients in 23 years of practice as the insurance companies consider it not medically necessary as it does not effect your normal bodily function. Breast reduction can eliminate pain and other issues that cause long term bodily problems. Tuberous breast are a cosmetic issue for the most part. Coding will have nothing to do with insurance coverage.
Helpful
September 30, 2014
Answer: Tuberous breast reconstruction covered by health insurance. Insurance coverage is not likely, though there is nothing wrong with a surgeon in your plan to see you and request an insurance predetermination for coverage. Significant lack of breast development and asymmetry may be in your favor.
Helpful
September 30, 2014
Answer: Tuberous breast reconstruction covered by health insurance. Insurance coverage is not likely, though there is nothing wrong with a surgeon in your plan to see you and request an insurance predetermination for coverage. Significant lack of breast development and asymmetry may be in your favor.
Helpful
