Had a double lumpectomy 10 days ago. The 2 golf ball sized tumors turned out to be non cancerous. My once DD breasts now have 2 huge dents and little to no firmness.I had stitches removed today & asked about reconstruction. She NOW tells me it may not be covered by insurance & that I need to wait until my 3 month scan. Why wait if there was no cancer? And will I have trouble getting this covered? If it would help the claim I would even be fine reducing my size to a C cup to regain firmness/lift.
November 11, 2013
Answer: Lumpectomy reconstruction Breast Reconstruction after lumpectomy is much more difficult and require significant experience to do the reconstruction and choose the right procedure.Even in cancer patients I have seen insurance companies deny reconstruction after lumpectomy. If the lumps were benign the insurance company will not cover the reconstruction in most cases. Waiting three months does not change the coding diagnosis. If you are a candidate for breast reduction and meet the insurance criteria and is medically indicated, the breast reduction may improve the lumpectomy problems, it may not. It is not your doctor's fault, your doctor did the lumpectomy for large masses of the breast to make sure he/she does not miss a cancer diagnosis. The decision for reconstruction is that of the insurance company. Argue your case with the insurance company, the insurance commissioner in your state may help with the insuranceGood LuckSamir Shureih MD. FACSsshureih@msn.com
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November 11, 2013
Answer: Lumpectomy reconstruction Breast Reconstruction after lumpectomy is much more difficult and require significant experience to do the reconstruction and choose the right procedure.Even in cancer patients I have seen insurance companies deny reconstruction after lumpectomy. If the lumps were benign the insurance company will not cover the reconstruction in most cases. Waiting three months does not change the coding diagnosis. If you are a candidate for breast reduction and meet the insurance criteria and is medically indicated, the breast reduction may improve the lumpectomy problems, it may not. It is not your doctor's fault, your doctor did the lumpectomy for large masses of the breast to make sure he/she does not miss a cancer diagnosis. The decision for reconstruction is that of the insurance company. Argue your case with the insurance company, the insurance commissioner in your state may help with the insuranceGood LuckSamir Shureih MD. FACSsshureih@msn.com
Helpful
