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17 Jan 2017 I. COVERAGE. 1. Blepharoplasty, Brow Ptosis Repair and Upper Eyelid Blepharoptosis Repair. 2. Ectropion/Entropion Repair and Lid Retraction. II. DEFINITIONS. III. REFERENCES for Blepharoplasty (Attachment B). • For states with no LCDs, see the UnitedHealthcare Coverage Determination Guideline.
1 Jun 2017 This Coverage Determination Guideline provides assistance in interpreting UnitedHealthcare benefit plans. When deciding coverage, the member specific benefit plan document must be referenced. The terms of the member specific benefit plan document [e.g., Certificate of Coverage (COC), Schedule of
9 Jul 2014 This policy is applicable to UnitedHealthcare Medicare Advantage Plans offered by UnitedHealthcare and its affiliates. You are responsible for .. Blepharoplasty, blepharoptosis and lid reconstruction may be defined as any eyelid surgery that improves abnormal function, reconstructs deformities,
Most Bleparoplasties that are done are not covered by Medical Insurance. Insurance companies have strict criteria that must be met for Insurance to
1 Jun 2012 first identify enrollee eligibility, any federal or state regulatory requirements and the plan benefit coverage prior to UnitedHealthcare reserves the right, in its sole discretion, to modify its coverage determination guidelines and medical . Note: Please see state mandate definitions for cosmetic procedures.
This Policy Guideline is applicable to UnitedHealthcare Medicare Advantage Plans offered by UnitedHealthcare and its affiliates for health care services submitted on CMS 1500 forms and, when specified, to those billed on UB04 forms. (CMS 1450), or their electronic comparative. The information presented in this Policy
1 Mar 2017 regarding UnitedHealthcare Medical Policy, Medical Benefit Drug Policy, Coverage Determination Guideline, Utilization Review Guideline, and Quality of .. Blepharoplasty, Blepharoptosis and Brow Ptosis Repair - Effective Apr. 1, 2017 . .. necessary for patients at high risk for breast cancer as defined as.
1 Dec 2016 regarding UnitedHealthcare Medical Policy, Drug Policy, and Coverage Determination Guideline (CDG) updates.* .. Blepharoplasty - also see the Coverage Determination Guideline titled Blepharoplasty, Blepharoptosis and Brow chronic rhinosinusitis (defined as rhinosinusitis lasting longer than.
1 Jan 2017 UnitedHealthcare may also use tools developed by third parties, such as the MCG™ Care Guidelines, to assist us in administering Examples include, but are not limited to: •. Treatment . Blepharoplasty - also see the Coverage Determination Guideline titled Blepharoplasty, Blepharoptosis and Brow.
1 Jul 2017 This Coverage Determination Guideline provides assistance in interpreting UnitedHealthcare benefit plans. When deciding Blepharoplasty, Blepharoptosis and Brow Ptosis · Repair Cosmetic Surgery: Defined by the American Society of Plastic Surgeons, "is performed to reshape normal structures.
     

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