Breast Reduction Surgery (Reduction Mammaplasty)
UnitedHealthcare Medical Policy MP.004.30 describes coverage considerations for breast reduction surgery (reduction mammaplasty) for UnitedHealthcare Commercial and Individual Exchange plans, clarifies applicability of the Women's Health and Cancer Rights Act of 1998, and references InterQual criteria for clinical medical necessity determinations. Member-specific benefit plans govern final coverage.
Related Policies and Applicable Codes updated; removed reference link to Medical Policy titled Panniculectomy and Body Contouring Procedures; Benefit Considerations updated to note exclusions do not apply to gender dysphoria treatment when plan has such benefit; references updated.