Body Surface Area calculation

It's great that you're exploring options for having a breast reduction covered by insurance through BC/BS. Understanding the criteria for coverage, including the requirement for a certain amount of tissue to be removed based on body surface area, is important.
Regarding your question about body surface area measurement, while the Dubois and Schuner scale is commonly used to estimate body surface area, it's true that individual variations in muscle mass and body composition can affect these calculations. Muscle is denser than fat, so individuals with higher muscle mass may have a different body surface area compared to those with higher fat mass, even if they weigh the same.
When it comes to insurance coverage for breast reduction surgery, it's essential to work closely with your surgeon and insurance provider to ensure that all necessary criteria are met. If you believe that your muscle mass may impact the accuracy of the body surface area measurement, it's worth discussing this with your surgeon and insurance representative.
Your surgeon may be able to provide additional documentation or justification to support your case for coverage based on your unique body composition. Ultimately, the goal is to ensure that you receive the care you need while navigating the requirements of your insurance plan.
By advocating for yourself and working collaboratively with your healthcare team, you can hopefully find a solution that meets both your medical needs and insurance requirements. Good luck with your journey towards a breast reduction procedure!

In order to have the procedure covered by insurance you will need to visit with a plastic surgeon for an evaluation. Your surgeon will discuss your history including issues you've had due to the size of your breasts. The surgeon will collect needed data and submit it to the insurance company for consideration. You will not need to calculate it yourself.

If you are over ideal weight for your height, the amount of breast tissue that must be removed increases. Insurance companies do not care if you have more muscle or fat. It is based on weight.