Coding of nasal surgery can be challengingdue to the fact that somecodes are not uniquely defined aseither cosmetic or reconstructive procedures.Therefore, it’s important for plasticsurgeons to understand what may or maynot be covered under insurance plans.
Typically, the medical necessity forreconstructive nasal surgery comes down toshowing a functional benefit of the procedure,such as relieving an airway obstruction.Most insurance providers will notreimburse for improvements of aestheticnasal deformities unless documentationindicates they were done to repair a congenitalabnormality such as a cleft lip nasaldeformity. That’s why it’s important toobtain a written preauthorization for nasalprocedures.
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