ASPS Positions on Recommended Insurance Coverage Criteria

ASPS Positions on Recommended Insurance Coverage Criteria
American Society of Plastic Surgeons

The American Society of Plastic Surgeons has developed a series of papers outlining the Society's position on recommended insurance coverage criteria for third-party payer coverage. These papers are designed to assist third-party payers in addressing reimbursement issues for various "gray area" plastic surgery procedures, those that could be considered either cosmetic or reconstructive.

Recommended Insurance Coverage Criteria
Blepharoplasty (03/07)
Abdominoplasty and Panniculectomy Unrelated to Obesity or Massive Weight Loss (01/07)
Nasal Surgery (07/06)
Surgical Treatment of Skin Redundancy for Obese and Massive Weight Loss Patients (01/07)
Ear Deformity: Prominent Ears (12/05)
Breast Reconstruction Following Diagnosis and Treatment for Breast Cancer (09/04)
Breast Reconstruction for Deformities Unrelated to Cancer Treatment Insurance Coverage Criteria (09/04)
Prophylactic Mastectomy Coverage Criteria (03/03)
Skin Lesions (03/03)
Gynecomastia (03/02)
Reduction Mammaplasty (03/02)
The Health Burden of Breast Hypertrophy (11/01)
Breast Reduction Clinical Outcome Study (05/01)
Reduction Mammaplasty Sample Appeal Letter