In the middle of January, I got hit in the nose during sports. It hurt REALLY BAD, bled just a little bit. I didnt think it was broken because ut wasnt crooked. It took almost a month for it to get to feeling normal again. Then, I got hit again. Not as bad the second time but definitely had to sit out. Once the season was over I went to my doctor and he said that I had broken it. Now I have a small dorsal hump on the top of my nose. Is there any way to get insurance to pay for this?
May 30, 2012
Answer: Insurance coverage of dorsal hump removal
The insurance coverage usually extends to surgeries that correct functional nasal problems, such as nasal obstruction. Insurances also provide coverage for reconstructive surgery aimed at correction of nasal deformity due to prior trauma. However, the deformity needs to be fairly severe to qualify for reconstructive procedure, such as severe nasal deviation, saddle nasal deformity, etc. Correction of dorsal hump is really a gray area: from one hand it may indeed be traumatic in etiology, but from the other hand it is a pure cosmetic procedure. I would say, you need to be prepared to pay out of pocket for this, but get a few consultations and see for yourself what options you will be offered.
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May 30, 2012
Answer: Insurance coverage of dorsal hump removal
The insurance coverage usually extends to surgeries that correct functional nasal problems, such as nasal obstruction. Insurances also provide coverage for reconstructive surgery aimed at correction of nasal deformity due to prior trauma. However, the deformity needs to be fairly severe to qualify for reconstructive procedure, such as severe nasal deviation, saddle nasal deformity, etc. Correction of dorsal hump is really a gray area: from one hand it may indeed be traumatic in etiology, but from the other hand it is a pure cosmetic procedure. I would say, you need to be prepared to pay out of pocket for this, but get a few consultations and see for yourself what options you will be offered.
Helpful
May 30, 2012
Answer: Insurance coverage for nasal surgery
If your surgeon can document that the hump is the result of the nasal trauma by submitting photographs, CT scans, and any other relevant documentation, some insurance companies will cover reconstructive rhinoplasty to address this post-traumatic condition. Other insurance companies have specific criteria that only cover functional repairs to improved a compromised nasal airway. It is worth having a board certified plastic surgeon evaluate you, submit the documentation, and see if you can get coverage for this repair.
All the best,
Dr. Skourtis
Helpful
May 30, 2012
Answer: Insurance coverage for nasal surgery
If your surgeon can document that the hump is the result of the nasal trauma by submitting photographs, CT scans, and any other relevant documentation, some insurance companies will cover reconstructive rhinoplasty to address this post-traumatic condition. Other insurance companies have specific criteria that only cover functional repairs to improved a compromised nasal airway. It is worth having a board certified plastic surgeon evaluate you, submit the documentation, and see if you can get coverage for this repair.
All the best,
Dr. Skourtis
Helpful