Plastic/Reconstructive surgery procedure code listing and review guidance
This document lists CPT/HCPCS procedure codes relevant to plastic and reconstructive surgery and describes which codes are subject to medical policy review, prior authorization (Recommended Clinical Review/Predetermination), considered not covered, or experimental for Blue Cross Blue Shield - New Mexico members.
No material clinical or coverage changes in this revision.
Coverage classifications and review requirements
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.