Plastic/Reconstructive Surgery policy updates
Track new and updated Plastic/Reconstructive Surgery policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Bioengineered Skin and Soft Tissue Substitute for Breast Reconstruction, Epidermolysis Bullosa Dystrophica (EBD), and Severe Burns | Blue Cross Blue Shield - North Carolina | Clinical | Plastic/Reconstructive Surgery | Modified | Apr 11, 2025 |
| Abdominoplasty, Panniculectomy, and Lipectomy | Blue Cross Blue Shield - North Carolina | Clinical | Plastic/Reconstructive Surgery | Modified | Aug 1, 2012 |
| Abdominoplasty and Panniculectomy | Blue Cross Blue Shield - North Carolina | Clinical | Plastic/Reconstructive Surgery | Modified | Aug 1, 2012 |
| Keloid Excision and Scar Revision | Blue Cross Blue Shield - North Carolina | Clinical | Plastic/Reconstructive Surgery | Modified | — |
| Surgical treatment of skin redundancy after obesity or massive weight loss — Coverage Criteria | Blue Cross Blue Shield - North Carolina | Clinical | Plastic/Reconstructive Surgery | Modified | — |
| NC Medicaid Craniofacial Surgery | Blue Cross Blue Shield - North Carolina | Clinical | Plastic/Reconstructive Surgery | Modified | — |
| Surgical Treatment for Lipedema | Blue Cross Blue Shield - North Carolina | Clinical | Plastic/Reconstructive Surgery | Modified | — |
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.
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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.