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    v1.0.28
    OpenPayerLive policy feedPlastic/Reconstructive Surgery

    Plastic/Reconstructive Surgery policy updates

    Track new and updated Plastic/Reconstructive Surgery policies impacting reimbursement and clinical operations.

    Policy Payer Type Specialty Change Effective
    MAPD Prior Authorization Procedure Code List — Prior Authorization and Documentation RequirementsBlue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedApr 1, 2025
    Recommended Clinical Review, Post‑Service Review and Non‑Covered Procedure Code List — Plastic/Reconstructive Surgery (Fully Insured)Blue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedJan 1, 2025
    2025 Recommended Clinical Review; Post-Service Review and Non-Covered Procedure Code List (Plastic/Reconstructive Surgery)Blue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedJan 1, 2025
    Recommended Clinical Review and Non-Covered Procedure Code List (ASO)Blue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedJan 1, 2025
    MAPD Prior Authorization Procedure Code List (Plastic/Reconstructive Surgery)Blue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedJan 1, 2025
    Recommended Clinical Review, Post-Service Review and Non-Covered Procedure Code List (Plastic/Reconstructive Surgery subset)Blue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedJan 1, 2025
    MAPD Benefit Prior Authorization Procedure Code List (prior authorization and documentation requirements)Blue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedJan 1, 2024
    Prior authorization CPT/HCPCS procedure code list (Plastic/Reconstructive Surgery subset)Blue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedJul 1, 2023
    Prior Authorization Procedure Code List — Medicare AdvantageBlue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedJan 1, 2023
    Utilization management preauthorization coding list for plastic/reconstructive surgeryBlue Cross Blue Shield - TexasClinicalPlastic/Reconstructive SurgeryModifiedSep 1, 2019
    Rows per page:1–10 of 13

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.


    OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
    Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.

    Where this data comes from

    Every entry in this feed comes from documents payers publish themselves: medical policies, provider bulletins, and clinical criteria. We check payer policy libraries daily and record the effective date on each update.

    See our data sourcesHow we process policy documents

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