Is Panniculectomy covered by Medicare?

What qualifies you for a Panniculectomy?

You may be an ideal candidate for panniculectomy if:

  • excess abdominal fat causes health issues such as back pain, skin rashes, or ulcers.
  • you don’t smoke.
  • you are in good health.
  • your weight has been stable for at least six months to one year.
  • you have realistic expectations from surgery.
  • you are maintaining a healthy diet.

How much does a Panniculectomy surgery cost?

A panniculectomy is more expensive than a tummy tuck, but it’s often covered by medical insurance. The cost can range from $8,000 to $15,000, plus anesthesia and other extras. A tummy tuck is less expensive but is not covered by insurance. This elective procedure costs on average around $6,200.

Will Medicaid pay for a Panniculectomy?

Medicaid recognizes the performance of abdominal panniculectomy as appropriate and medically necessary when performed to relieve clinical signs and symptoms resulting from redundant skin following a massive weight loss, symptomatology related to panniculitis, and/or the facilitation of abdominal surgery for those …

Will medical cover a Panniculectomy?

Not Medically Necessary: Panniculectomy is considered not medically necessary as an adjunct to other medically necessary procedures such as, but not limited to, hysterectomy, and/or incisional or ventral hernia repair unless the above medical criteria are met. It must also represent a distinct procedure to be reported.

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Do I need a referral for a Panniculectomy?

A: You do not need any referral. You can make an appointment directly with one of our offices. Click here for a list of our locations. Q: How is Kaiser Permanente different from other cosmetic offices?

How many sizes do you lose with a Panniculectomy?

The results from this procedure vary among patients because different patients with different body compositions seek out this treatment to contour and define their stomachs. However, when you choose this procedure, you can expect to lose anywhere from one to three sizes in total.

How much weight do you lose after a Panniculectomy?

Results: Average abdominal skin resection was 16.1 pounds, ranging from 10.3 to 49 pounds. Hernia repair was necessary in 13 patients. Additional surgery performed at the time of panniculectomy included skin reduction surgery of the back (40 percent), chest (32 percent), inner thigh (28 percent), and arm (28 percent).

What is the difference between a Panniculectomy and an abdominoplasty?

The biggest difference is the goal of the surgical procedure. A tummy tuck tightens the abdominal muscles and removes excess fat, skin, and tissue, while a panniculectomy is performed to remove a pannus.

Do Panniculectomy scars go away?

Like all surgical scars, abdominoplasty scars will never go away completely, but most patients feel they are well worth the benefits of achieving the smooth and flat abdominal contour they desire. Dr. Schlechter places the incisions as discreetly as possible to minimize scarring so that you can enjoy the best results.

Does Blue Cross Blue Shield SC cover Panniculectomy?

BCBSNC will provide coverage for Panniculectomy when it is determined to be medically necessary because the medical criteria and guidelines shown below are met.

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What is the recovery time for a Panniculectomy?

You will need to be off work for a minimum of 4-6 weeks following abdominoplasty/panniculectomy. Do not lift anything over 10 pounds for at least 6 weeks after your surgery. If you have small children, do not lift them up, or hold them in your lap for at least 3-4 weeks after your surgery.

How do you qualify for an abdominoplasty?

Who is a good candidate for tummy tuck surgery?

  1. You are physically healthy and at a stable weight.
  2. You have realistic expectations.
  3. You are a nonsmoker.
  4. You are bothered by the appearance of your abdomen.