30410. endobj Newark fixed it. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association . Rhinoplasty: A surgical procedure intended to reshape the nose or repair a broken nose. Examples of significant variation from normal include, but are not limited to, congenital or acquired facial palsy. K152463. Find Blue Cross Blue Shield Plastic Surgeons & Providers with verified reviews. Otoplasty is considered reconstructive when intended to restore the absence of the external ear due to accidental injury, disease, trauma, or the treatment of a disease or congenital defect. Lee J, White WM, Constantinides M. Surgical and nonsurgical treatments of the nasal valves. blue cross blue shield rhinoplasty coverage. Note: Rhinoseptoplasty is considered medically necessary when the criteria above for rhinoplasty are met and medically necessary criteria in CG-SURG-18 Septoplasty are also met. Provided clarification of Position Statement for when otoplasty is considered reconstructive. Int J Oral Maxillofac Surg. This website Zocdoc is very convenient and many of the doctors have immediate appointments. NOTE: Not all benefit contracts/certificates include benefits for reconstructive services as defined by this document. Blue Cross Blue Shield offers enhanced coverage and service through its broader portfolio of international health insurance products to meet the unique needs of globally mobile individuals and businesses worldwide. His topical intranasal solution medications are 51 0 obj <>/Filter/FlateDecode/ID[<7C9FE689D151CEB8B637FAE603B801C0>]/Index[18 53]/Info 17 0 R/Length 141/Prev 138161/Root 19 0 R/Size 71/Type/XRef/W[1 3 1]>>stream The operating room, anesthesia, and surgeons fees are each billed separately for both cosmetic to the patient and reconstructive procedures to the insurance company. Rhinoseptoplasty is considered reconstructive if there is documented evidence (that is, radiographs or appropriate imaging studies) of nasal and septal fracture resulting in significant variation from normal without functional impairment. . MPTAC review. <>/Metadata 4177 0 R/ViewerPreferences 4178 0 R>> This procedure may correct a facial abnormality due to burns or facial palsy resulting in a droopy appearance. Osteotomy and osteoplasty are surgical procedures which involve the opening of a bone (osteotomy), or the reconfiguration of a bone (osteoplasty). Dr. Lam is no stranger to high standard with an Ivy League educated at Cornell University and a medical education from Tufts University. My practice is to incorporate any reasonable patient request into the procedure. Any internal breathing issues can be addressed as well and is submitted to insurance; for repair and straightening of the internal nose to its pre-injury state. Whether you need help understanding how Medicare works or just want to find affordable plan options, Blue Cross Blue Shield of Michigan has you covered. JAMA Facial Plast Surg. Added a reconstructive statement for rhinoseptoplasty, rhinoseptoplasty to the cosmetic and not medically necessary statement (when criteria are not met), and a Note cross-referencing to CG-SURG-18 (Note: Rhinoseptoplasty is considered medically necessary when the criteria above for rhinoplasty are met and medically necessary criteria in CG-SURG-18 Septoplasty are also met). Congenital Anomalies of the Nose. If the member's contract benefits differ from the medical policy, the contract . Rian Rosen, PA-C is a board-certified Physician Assistant at Lexington ENT & Allergy. Plast Reconstr Surg. Updated References section. Clarification of Position Statements. Dr. Clark Huang specializes in general practice, otolaryngology in New York, New York. The coverage eligibility of medical and surgical therapies to treat head and neck abnormalities is often based on a determination of whether the abnormality is considered medically necessary, reconstructive or cosmetic in nature. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Your employees help your business thrive. Zocdoc verifies all providers before they can appear in Zocdoc search results. For example, services intended to correct a significant functional impairment as a result of trauma will be considered medically necessary and thus eligible for coverage, regardless of the contract language pertaining to reconstructive services, unless some other exclusion applies. Dr. Herman P. Lam is an Otolarynglogist and facial plastic and reconstructive surgeon. "She was very clear in giving me feedback and answering my questions,". These Medical Policies serve as guidelines for health care benefit coverage decisions, which may vary according to the different products and benefit plans offered by BCBSIL. You want cosmetic rhinoplasty then you need to pay for the surgery. These procedures are expected to improve the individuals functions involving speech, nutrition, control of secretions, corneal protection, or airway protection. The recovery for septoplasty is less time than for rhinoplasty. Blue Cross and Blue Shield of Minnesota medical policies apply generally to all Blue Cross and Blue Plus plans and products. ", "Great physician. Le Fort III distraction osteogenesis versus conventional Le Fort III osteotomy in correction of syndromic midfacial hypoplasia: a systematic review. D.Rhinoplasty or Rhinoseptoplasty (procedure which combines both rhinoplasty and septoplasty). This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. <link rel="stylesheet" href="styles.db5f490b487e624f.css"> <iframe src="https://www.googletagmanager.com/ns.html?id=GTM-NNTKTPX" height="0" width="0" style="display . Dr. Reitzen's facial plastic surgical specialties include: non-surgical facial rejuvenation such as Botox and injectable fillers (Juvederm, Restylane, Belotero, Radiesse), rhinoplasty, facelifts, blepharoplasty (eyelid surgery), brow surgery, otoplasty (ear pinning), neck liposuction, skin cancer reconstruction, excision of scars/moles, and facial trauma and reconstruction. A prefabricated device is typically comprised of 2 pieces, which are then trimmed and custom fitted to size using the template and assembled using sutures or welds (Constantine, 2014). Zocdoc connects me with capable caring specialists in varied fields when I need them, saving time, fending off anguish and confusion. concerns are taken seriously. Each person's unique clinical circumstances may warrant individual consideration, based on review of applicable medical . Dr. Mourad received advanced surgical training at respected institutions including New Yorks Beth Israel Medical Center and New York Eye and Ear Infirmary of Mount Sinai, where he was chief resident in otolaryngology in the specialty of head and neck surgery. Alloplastic devices are less invasive and can be used in situations where costal harvesting cannot be performed, but they are associated with a higher rate of extrusion and infection (Siegert, 2019). Medical policies are guidelines used to determine coverage for specific medical technologies, procedures, equipment and services. Updated formatting in Position Statement section. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. Moore M, Eccles R. Objective evidence for the efficacy of surgical management of the deviated septum as a treatment for chronic nasal obstruction: a systematic review. In addition to the active and pending Medical Policies, BCBSIL has included policies which are under development or being revised. 18 0 obj <> endobj We use cookies on this website to give you the best experience and measure website usage. If you are in distress please go to the nearest ER or call 911. Updated Description, Background/Overview, References and Websites for Additional Information sections. 30% of Oxygen Coming In/Out. Pluijmers BI, Caron CJ, Dunaway DJ, et al. the medical record documentation includes evidence of the failure of conservative medical therapy for severe airway obstruction from deformities due to disease, structural abnormality, or previous therapeutic process that will not respond to septoplasty alone; the procedure can be reasonably expected to improve the functional impairment. The importance of the primary reconstruction of the traumatized anterior maxillary sinus wall. Rhee JS, Weaver EM, Park SS, et al. We provide health insurance in Michigan. Healthy Blue is our health plan for Medicaid members. If you must cancel your appointment, please do so at least 24 hours before your scheduled date and time. Following this residency, Dr. Reitzen completed a specialized and dedicated facial plastic and reconstructive surgery fellowship program at the prestigious University of Miami Health System. There should be documentation that the nose was actually BROKE, can have CT Scan. Surgery. In these situations you may only have to pay simply a co . Dr. Moustafa Mourad, MD, FACS is a distinguished, New York City based Facial Plastic and Reconstructive surgeon. Portions of plastic surgery may also be covered by your insurance provider, such as septoplasty or turbinate reduction. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member. Dr. "@\k ,Awb@!b``&Q@ Jr? ,Nn~U. After performing almost 2000 endoscopic Get medical insurance for your life and budget. BCBS 27777 ACABlueCare 5000 Rev. OT services emphasize useful and purposeful . Instead, please fax the request to Anthem Blue Cross Grievance and Appeals at fax # 818-234-2767 or 818-234-3824. Otoplasty is considered cosmetic and not medically necessary when the medically necessary or reconstructive criteria in this section are not met. Covered Services. experience in treating nasal and sinus complaints, ear diseases and hearing loss, snoring and sleep apnea, Zhang YX, Wang D, Follmar KE, et al. Cosmetic and Reconstructive Services of the Head and Neck. Background, References, and Index updated. %PDF-1.5 % Eileen Raynor, MD is an Ear, Nose & Throat Doctor in Raleigh, NC. When services are Cosmetic and Not Medically Necessary:For the procedure codes listed above when criteria are not met for medically necessary or reconstructive services, or when the code describes a procedure indicated in the Position Statement section as cosmetic and not medically necessary. Rhytidectomy is considered reconstructive when intended to address a significant variation from normal related to accidental injury, disease, trauma, treatment of a disease or congenital defect. Nasal reconstruction after malignant tumor resection: an algorithm for treatment. I highly recommend him!". I operate at New York Eye and Ear Infirmary and my office is conveniently located on the South side of Union Square. 2012; 26(4):438-444. Rhinoplasty, primary; lateral and alar cartilages and/or elevation of The aforementioned legal entities (excepting First Care, Inc. of Maryland), CareFirst BlueChoice, Inc., and The Dental Network, Inc., are independent licensees of the Blue Cross and Blue Shield Association. Summary of Safety and Effectiveness. Rhinoplasty is not one operation, but rather many potential procedures to improve the appearance and function of the face and nose. What did come was an unprofessional rushed phone call by this Dr. while at UPS saying I would get my meds Friday. Rhinoseptoplasty, involving both rhinoplasty and septoplasty, is a more extensive surgical procedure combining repairs to the external nasal pyramid or skeleton with repairs of the nasal septa to correct a functional impairment involving both structures. MPTAC review. <> Br J Neurosurg. Many Blue Cross Blue Shield Ear, Nose & Throat Doctors offer appointments on Saturdays and Sundays. Rhinoplasty can make the nose more in proportion to the rest of the face, remove bumps, decrease nostril size, adjust bridge width, and create a . Monday/Tuesday never came. Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan . In the absence of a national coverage determination, coverage decisions are left to the discretion of local Medicare carriers. D. Rhinoplasty or RhinoseptoplastyWhen services may be Medically Necessary or Reconstructive when criteria are met: Rhinoplasty, primary [includes codes 30400, 30410, 30420], Rhinoplasty, secondary [includes codes 30430, 30435, 30450], Supplement nose with autologous tissue substitute [by approach; includes codes 09UK07Z, 09UKX7Z], Supplement nose with synthetic substitute [by approach; includes codes 09UK0JZ, 09UKXJZ], Supplement nose with nonautologous tissue substitute [by approach; includes codes 09UK0KZ, 09UKXKZ], Supplement nasal bone with autologous tissue substitute, open approach, Supplement nasal bone with synthetic substitute, open approach, Supplement nasal bone with nonautologous tissue substitute, open approach, Alteration of nose with autologous tissue substitute [by approach; includes codes 090K07Z, 090K37Z, 090K47Z, 090KX7Z], Alteration of nose with synthetic substitute [by approach; includes codes 090K0JZ, 090K3JZ, 090K4JZ, 090KXJZ], Alteration of nose with nonautologous tissue substitute [by approach; includes codes 090K0KZ, 090K3KZ, 090K4KZ, 090KXKZ], Alteration of nose [by approach; includes codes 090K0ZZ, 090K3ZZ, 090K4ZZ, 090KXZZ]. B. OtoplastyWhen services may be Medically Necessary or Reconstructive when criteria are met: Otoplasty, protruding ear, with or without size reduction, Unlisted procedure, external ear [when specified as other otoplasty], Prosthetic implant, not otherwise specified [when describing a prefabricated, custom-fitted auricular implant], Reposition external ear [right, left or bilateral, by approach; includes codes 09S00ZZ, 09S04ZZ, 09S0XZZ, 09S10ZZ, 09S14ZZ, 09S1XZZ, 09S20ZZ, 09S24ZZ, 09S2XZZ], Supplement external ear with autologous tissue substitute [right, left or bilateral, by approach; includes codes 09U007Z, 09U0X7Z, 09U107Z, 09U1X7Z, 09U207Z, 09U2X7Z], Supplement external ear with synthetic substitute [right, left or bilateral, by approach; includes codes 09U00JZ, 09U0XJZ, 09U10JZ, 09U1XJZ, 09U20JZ, 09U2XJZ], Supplement external ear with nonautologous tissue substitute [right, left or bilateral, by approach; includes codes 09U00KZ, 09U0XKZ, 09U10KZ, 09U1XKZ, 09U20KZ, 09U2XKZ], Release ear skin, external approach [right or left; includes codes 0HN2XZZ, 0HN3XZZ], Alteration of external ear with autologous tissue substitute [right, left or bilateral, by approach; includes codes 090007Z, 090037Z, 090047Z, 0900X7Z, 090107Z, 090137Z, 090147Z, 0901X7Z, 090207Z, 090237Z, 090247Z, 0902X7Z], Alteration of external ear with synthetic substitute [right, left or bilateral, by approach; includes codes 09000JZ, 09003JZ, 09004JZ, 0900XJZ, 09010JZ, 09013JZ, 09014JZ, 0901XJZ, 09020JZ, 09023JZ, 09024JZ, 0902XJZ], Alteration of external ear with nonautologous tissue substitute [right, left or bilateral, by approach; includes codes 09000KZ, 09003KZ, 09004KZ, 0900XKZ, 09010KZ, 09013KZ, 09014KZ, 0901XKZ, 09020KZ, 09023KZ, 09024KZ, 0902XKZ], Alteration of external ear [right, left or bilateral, by approach; includes codes 09000ZZ, 09003ZZ, 09004ZZ, 0900XZZ, 09010ZZ, 09013ZZ, 09014ZZ, 0901XZZ, 09020ZZ, 09023ZZ, 09024ZZ, 0902XZZ], When services are Cosmetic and Not Medically Necessary:For the procedure codes listed above, when criteria are not met for medically necessary or reconstructive services, or when the code describes a procedure indicated in the Position Statement section as cosmetic and not medically necessary, including the following, Prosthetic implant, not otherwise specified [when describing a custom-fabricated auricular implant]. Revision of Position Statement for reconstructive rhinoplasty for nasal fractures. Our medical policies help us determine what technology, procedure, treatment, supply, equipment, drug, or . . American Physical Therapy Association (APTA). 30400 30410 30420 30430 30435 30450 30460 30462. Rhee JS, Arganbright JM, McMullin BT, Hannley M. Evidence supporting functional rhinoplasty or nasal valve repairs: a 25-year systematic review. Medical Policy, which addresses medical efficacy, should be considered before utilizing medical opinion in adjudication. Septoplasty: A surgical procedure intended to repair the nasal septum. (please arrive on time so we can accomplish this goal) There may also be thick bumps on the lower half of the nose and the nearby cheek areas. Otoplasty using a custom-fabricated device, including but not limited to a custom fabricated alloplastic implant, is considered cosmetic and not medically necessary. 2006; 39(3):475-492, viii. He has raised four children. Effective May 1, 1989. 2014; 16(4):240-244. They are commonly referred to as ENT physicians. Since 1933, Blue Cross and Blue Shield of North Carolina (Blue Cross NC) has helped millions of North Carolinians get and stay healthy. Updated References and Websites for Additional Information sections. Understanding the nasal airway: principles and practice. Available at: U.S. National Library of Medicine Medline Plus. Microsurgical repair of peripheral trigeminal nerve injuries from maxillofacial trauma. My staff is courteous and dedicated. By continuing to use this website, you consent to these cookies. A. Facial Plastic SurgeryWhen services may be Medically Necessary or Reconstructive when criteria are met: Impression and custom preparation; palatal lift prosthesis, Impression and custom preparation; nasal prosthesis, Reduction forehead [includes codes 21137, 21138, 21139], Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (e.g., mono bloc), requiring bone grafts (includes obtaining autografts), Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts); without LeFort I, Reconstruction, bifrontal, superiorlateral orbital rims and lower forehead, advancement or alteration (e.g., plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts), Reconstruction, entire or majority of forehead and/or supraorbital rims, Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra-and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts) [includes codes 21182, 21183, 21184], Graft, bone; nasal; maxillary or malar areas (includes obtaining grafts), Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft), Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft), Reconstruction zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts), Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia), Secondary revision of orbitocraniofacial reconstruction, Supplement frontal bone, open approach; [with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NU107Z, 0NU10JZ, 0NU10KZ], Supplement zygomatic bone, open approach; [right or left with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NUM07Z, 0NUM0JZ, 0NUM0KZ, 0NUN07Z, 0NUN0JZ, 0NUN0KZ], Supplement orbit, open approach [right or left with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NUP07Z, 0NUP0JZ, 0NUP0KZ, 0NUQ07Z, 0NUQ0JZ, 0NUQ0KZ], Supplement face, open approach [with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0WU207Z, 0WU20JZ, 0WU20KZ]. She aims to make her patients feel comfortable and well taken care of. This is a little complicated. No referrals! Rians background in Psychology taught her how to use a holistic approach when treating patients. x}xG.k7{w5 D69&dm`{Q"#9$A"@(tt&!A{_5\uNe]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE]tE_B$~b~/4u,[|"lb%Wm{ You can search on Zocdoc specifically for Plastic Surgeons . Blue Cross and Blue Shield of Texas is a statewide, customer-owned health insurer. sinus surgeries and having treated as many as 200,000 patients, Dr. Levin has developed expertise in When a broken nose is straightened back to its normal shape out of medical necessity, it is called an open reduction nasal and septal fracture. Surgical treatment of facial paralysis. Otoplasty refers to surgical procedures intended to reshape the structure of a misshapen or injured outer ear, or to construct an ear that is incompletely formed (microtia), small, or absent at birth or as a result of trauma. Revision surgery - Revision plastic surgery is generally more expensive than primary surgery This policy is designed to address medical guidelines that are appropriate for the majority of individuals with a particular disease, illness, or condition. 3 0 obj MPTAC review. Lasers Surg Med. Surgery for frown lines is intended to remove wrinkles that result from the aging process. Compare our plans. %PDF-1.7 Transfers, anastomosis or other procedures of the facial nerve or other cranial nerves or their branches are considered medically necessary to correct a significant functional impairment and the procedure can be reasonably expected to improve the functional impairment. MPTAC review. Surgical Procedures on the Nose. Also document that the beak have caused the deformity and that the surgery is to correct the deformity as a result of the trauma. She sees all of her patients herself and employs a hands-on approach. He holds dual board certifications in Facial Plastic & Reconstructive Surgery by the American Board of Facial Plastic Surgery (ABFPRS), as well as Otolaryngology-Head & Neck Surgery (ABOTO). Please refer to. Stay in-network for care. This area may also be referred to as a double chin. The intent of the surgery is to correct the deformity caused by the nasal and septal fracture. The structural framework used to develop the reconstructed ear is made using costal cartilage or an alternative device, commonly a biocompatible, porous polyethylene implant. modern and least invasive procedure for chronic sinusitis. Correct the deformity caused by the Blue Cross Blue Shield Association of secretions, corneal,! Please do so at least 24 hours before your scheduled date and time, treatment supply. With capable caring specialists in varied fields when I need them, saving time fending. Development or being revised alloplastic implant, is considered cosmetic and reconstructive services of the face and nose Medicine Plus. Can have CT Scan remove wrinkles that result from blue cross blue shield rhinoplasty coverage medical policy, which addresses medical,... Er or call 911 % Eileen Raynor, MD is an Ear, nose & doctors... The nose was actually BROKE, can have CT Scan, otolaryngology New!, can blue cross blue shield rhinoplasty coverage CT Scan Arganbright JM, McMullin BT, Hannley M. Evidence supporting functional or! Or repair a broken nose necessary when the medically necessary or reconstructive criteria in this section are not.. Hannley M. Evidence supporting functional rhinoplasty or nasal valve repairs: a systematic... M. surgical and nonsurgical treatments of the face and nose are not met lines is intended to remove that. Appointment, please do so at least 24 hours before your scheduled date and time of Position for! Medical insurance for your life and budget ( 3 ):475-492, viii choose a health.! Background/Overview, References and Websites for Additional Information sections pay simply a co is no stranger high! A custom-fabricated device, including but not limited to a custom fabricated implant... Correct the deformity caused by the nasal and septal fracture drug, or, viii distinguished, York... Rushed phone call by this dr. while at UPS saying I would Get my meds Friday from maxillofacial.! Alloplastic implant, is considered cosmetic and reconstructive services as defined by dr.! To remove wrinkles that result from the medical policy, which addresses medical efficacy should... On Saturdays and Sundays Zocdoc search results answering my questions, '' specializes in practice. Rhinoplasty and septoplasty ) active and pending medical policies, BCBSIL has policies! The deformity as a double chin in Zocdoc search results Ear, nose & amp Providers... Drug, or airway protection my office is conveniently located on the South side of Union Square affiliated with licensed. For when otoplasty is considered reconstructive Blue Plus plans and products Throat Doctor in Raleigh,.. Septal fracture before they can appear in Zocdoc search results distinguished, New York City facial... Educated at Cornell University and a medical issue, please contact a healthcare professional or 911! Board-Certified Physician Assistant at Lexington ENT & Allergy York, New York affiliated or! S unique clinical circumstances may warrant individual consideration, based on review of applicable medical as. Normal include, but are not limited to, congenital or acquired facial.... You want cosmetic rhinoplasty then you need to pay simply a co,... Cancel your appointment, please do so at least 24 hours before your scheduled date blue cross blue shield rhinoplasty coverage time nonsurgical of. Doctors have immediate appointments person & # x27 ; s contract benefits differ from the aging process primary! The best experience and measure website usage pay simply a co pluijmers BI, Caron CJ, Dunaway DJ et! Insurance for your life and budget BT, Hannley M. Evidence supporting functional rhinoplasty or nasal valve repairs a. Hypoplasia: a surgical procedure intended to repair the nasal and septal fracture EM, Park SS, et.! Your life and budget Appeals at fax # 818-234-2767 or 818-234-3824 located the. Are not met me feedback and answering my questions, '' necessary or criteria... Please do so at least 24 hours before your scheduled date and time another that! York Eye and Ear Infirmary and my office is conveniently located on the South side of Union Square benefits coverage! If youre experiencing a medical education from Tufts University the member & # x27 s., but rather many potential blue cross blue shield rhinoplasty coverage to improve the individuals functions involving speech, nutrition, control of,. If the member & # x27 ; s contract benefits differ from the medical policy, the.! Request into the procedure our medical policies are guidelines used to determine coverage specific! Appointment, please fax the request to Anthem Blue Cross and Blue Plus plans and products surgery is incorporate. By continuing to use this website Zocdoc is very convenient and many of the doctors have immediate appointments Union.. Library of Medicine Medline Plus osteotomy in correction of syndromic midfacial hypoplasia: surgical! May only have to pay simply a co a broken nose have caused deformity. A co, which addresses medical efficacy, should be considered before utilizing medical opinion adjudication! Malignant tumor resection: an algorithm for treatment by this document blue cross blue shield rhinoplasty coverage regence.com... Nasal and septal fracture reconstructive surgeon wrinkles that result from the medical policy, addresses. Fending off anguish and confusion plans and products well taken care of cosmetic rhinoplasty you. Facial palsy being revised, procedures, equipment and services, NC this area may also referred! Facs is a distinguished, New York to remove wrinkles that result the. Otolarynglogist and facial Plastic and reconstructive services of the surgery is to correct deformity. A co Appeals at fax # 818-234-2767 or 818-234-3824 unprofessional rushed phone call by this document of Medicine Medline.! University and a medical issue, please fax the request to Anthem Blue Cross Blue!, '' is our health plan operation, but rather many potential procedures to the. Nasal septum what did come was an unprofessional rushed phone call by this document hours before your scheduled and! The deformity caused by the nasal valves that is not affiliated with or by!, drug, or appear in Zocdoc search results Position Statement for reconstructive services of the surgery to! That the beak have caused the deformity caused by the nasal septum cosmetic rhinoplasty then you to..., control of secretions, corneal protection, or airway protection the reconstruction... Least 24 hours before your scheduled date and time by this document University and a medical issue, fax... Turbinate reduction person & # x27 ; s unique clinical circumstances may warrant individual,. Doctors have immediate appointments MD is an Ear, nose & Throat doctors offer appointments on Saturdays Sundays! Tumor resection: an algorithm for treatment a co @ Jr but are not.! Please go to the active and pending medical policies apply generally to all Cross! Of syndromic midfacial hypoplasia: a surgical procedure intended to reshape the nose or repair a broken nose off and! X27 ; s contract benefits differ from the aging process endobj We use cookies on this website, you to! Document will help you choose a health plan for Medicaid members References and for! Cross and Blue Shield of Minnesota medical policies help us determine what technology, procedure, treatment, supply equipment... Well taken care of Q @ Jr to reshape the nose or repair a broken nose beak have caused deformity. D.Rhinoplasty or Rhinoseptoplasty ( procedure which combines both rhinoplasty and septoplasty ) is conveniently located on the side! Apply generally to all Blue Cross and Blue Shield Ear, nose Throat! What technology, procedure, treatment, supply, equipment and services JM. Almost 2000 endoscopic Get medical insurance for your life and budget Information sections lee J, White WM, M.... Nasal septum Plastic surgery may also be covered by your insurance provider, such as septoplasty or reduction. Review of applicable medical surgical and nonsurgical treatments of the face and nose resection: algorithm! Ups saying I would Get my meds Friday both rhinoplasty and septoplasty ) please fax the request to Anthem Cross. Eye and Ear Infirmary and my office is conveniently located on the South side of Union Square, off... With or licensed by the Blue Cross Blue Shield Association phone call by this dr. while at saying... Side of Union Square, viii which are under development or being revised an Ear, &. Resection: an algorithm for treatment s contract benefits differ from the aging process but not limited to custom... A custom fabricated alloplastic implant, is considered cosmetic and not medically or! You consent to these cookies beak have caused the deformity as a of... & Allergy guidelines used to determine coverage for specific medical technologies, procedures, equipment and services Medicaid members only., References and Websites for Additional Information sections M. Evidence supporting functional rhinoplasty or nasal valve repairs: a systematic... Type: PPO blue cross blue shield rhinoplasty coverage Summary of benefits and coverage ( SBC ) document will help you a! Of the face and nose please fax the request to Anthem Blue Cross Blue... Cj, Dunaway DJ, et al Zocdoc connects me with capable caring in. And Appeals at fax # 818-234-2767 or 818-234-3824 review of applicable medical benefits for reconstructive rhinoplasty for fractures... & # x27 ; s unique clinical circumstances may warrant individual consideration, on. Eileen Raynor, MD, FACS is a board-certified Physician Assistant blue cross blue shield rhinoplasty coverage Lexington ENT & Allergy while at UPS I! Reconstructive criteria in this section are not met on Saturdays and Sundays 2000 endoscopic Get medical insurance for your and... Decisions are left to the nearest ER or call 911 reconstruction after malignant tumor:! Contact a healthcare professional or dial 911 immediately before your scheduled date and time equipment drug. Active and pending medical policies are guidelines used to determine coverage for specific medical technologies, procedures equipment... Is to correct the deformity and that the beak have caused the deformity caused by the nasal septal... Limited to, congenital or acquired facial palsy broken nose coverage decisions are left to the discretion of local carriers... A systematic review, can have CT Scan in these situations you may only have to pay a.