Wiki Panniculectomy

[d.bishop]

Does anyone know any tips on getting a panniculectomy approved and paid through BCBS of SD? Patient had weight loss surgery due to other medical conditions.

 

[TThivierge]

Hi D Bishop
Well it depends on provider's documentation and listing of chronic conditions if appropriate. What was the dx code listed? I hope surgery was pre approved because most payers want that first. Also preapprove treatment plan dx should matching billing dx or may deny.
Lady T