How do I get approved for Panniculectomy? (Photo)

Question

I have extra skin that hangs over my vagina. I have back pain and sometimes I get a rash under my belly.

Babak Moeinolmolki, MD, FACS · Answer

Hello,
Thanks for your question. From your post it seems you are on the right track in terms of requirements for insurance approval. 
Generally insurance requires 1) that the pannus hangs to the level of the pubic bone and 2) that rashes of the skin folds are not sufficiently treated by topical creams. From the information you shared, you likely meet both requirements. Your physician can assist you in getting the necessary approval.
I suggest you discuss with a surgeon whether your condition will be treated sufficiently with panniculectomy alone, or whether you would also benefit from a tummy tuck. Unfortunately tummy tucks are generally not covered by insurance.
Best wishes,
Dr. Moein
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Tania Medina de Garcia, MD · Answer

Hello dear!!Thanks for the question and provided information as well. Based on your pictures you are good candidate for liposuction with a traditional tummy tuck. This combination has become very common. It is safe to combine both procedures.  I recommend to book a consultation with a board certified plastic surgeon to discuss the best options for your goals. Good luck :)

Daniel J. Rosen, MD - Account Suspended · Answer

To get a panniculectomy approved by insurance most insurance companies require that certain things be documented to prove medical necessity rather than a purely cosmetic reason for performing the procedure. These criteria often include documentation of a rash in the skin folds (intertrigo) that persists  despite medical treatment with anti-fungal powders, and pictures that demonstrate the excess skin hanging down below the pubic bone.  When submitting, pictures are worth a thousand words so make sure you take pictures of any skin rashes, folliculitis, boils, or cracking that may develop.  A submitted note from a dermatologist that supports and recommends the procedure as medically necessary can make it harder for the insurance companies to deny.

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