Does insurance pay for tummy tuck after hysterectomy?

One of the first questions that many of our patients ask is, “Can a tummy tuck be covered by insurance?” The answer to this question is both yes and no. In many cases, a tummy tuck is merely a cosmetic procedure, and most insurance plans will not cover this.
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Can I get a tummy tuck after a hysterectomy?

A tummy tuck (Abdominoplasty) is routinely performed after a hysterectomy. At times, these two operations are done during the same operation. If your hysterectomy was performed laparoscopically, it would be unusual for you to have prolonged abdominal swelling.
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How much is a tummy tuck with a hysterectomy?

The cost of tummy tuck is from $4500. This will vary from surgeon to surgeon. The cost may include the following: Surgeon's fee.
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Can I get a Panniculectomy with hysterectomy?

For women undergoing hysterectomy, removal of "hanging" abdominal fat and skin—a cosmetic procedure called panniculectomy—can be performed at the same surgery without increasing the risk of complications, reports a study in the September issue of Plastic and Reconstructive Surgery®, the official medical journal of the ...
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Is a tummy tuck ever considered medically necessary?

Cosmetic and Not Medically Necessary:

Liposuction is considered cosmetic and not medically necessary when used for the removal of excess abdominal fat. Abdominoplasty when done to remove excess skin or fat with or without tightening of the underlying muscles is considered cosmetic and not medically necessary.
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Will Insurance Cover Your Tummy Tuck? Tips from a Certified Plastic Surgery Medical Coder



Does insurance cover tummy tucks ever?

In many cases, a tummy tuck is merely a cosmetic procedure, and most insurance plans will not cover this. However, if you are experiencing rashes or skin infections, it then becomes a medical need to have the surgery. In this case, you may be able to get some of the costs of your tummy tuck covered by insurance.
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What would makes a tummy tuck medically necessary?

In flattening the abdomen and removing excess stomach fat, a tummy tuck surgically tightens the weakened muscles, resulting in much-needed abdominal support that can alleviate your back pain. To improve posture: A byproduct of stronger abdominal muscles and decreased back pain is improved posture.
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Will insurance cover a Panniculectomy?

Since the panniculectomy is not typically seen as a cosmetic surgery, your insurance provider may help pay for the procedure. But, you must meet specific criteria, and the panniculectomy must be seen as a medical necessity. Contact your health insurance provider to discuss your payment options.
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Is a Panniculectomy the same as a tummy tuck?

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.
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Can a gynecologist perform a Panniculectomy?

Panniculectomy is relatively simple for general gynecologists or gynecologic oncologists to understand and master. Wound complications will occur in these women, but they are manageable and acceptable, given that the surgeries are potentially curative.
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Is it possible to lose weight after hysterectomy?

The bottom line. There's no connection between hysterectomy and weight loss. Any weight loss noticed after a hysterectomy probably has an unrelated cause. Always talk to your doctor about any unintentional weight loss, as there could be an underlying condition at play.
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How long after hysterectomy can you have liposuction?

I would wait six months or so before contemplating liposuction. During that time make an effort the get back into shape and get on a healthy diet. Not a temporary diet but an eating habit that balances healthy calorie intake with the calories you burn through exercise and your regular activities.
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Why is a hysterectomy major surgery?

A hysterectomy is a surgical procedure that removes the uterus. You lose the ability to become pregnant and no longer menstruate. Reasons for this surgery include abnormal bleeding, uterine prolapse, fibroids and cancer. Recovery usually takes four to six weeks, depending on the type of surgery you have.
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What does a hysterectomy scar look like?

Abdominal Hysterectomy Scar Pictures

Abdominal hysterectomy usually leaves one large scar around the "bikini line," about halfway between the belly button and the pubic bone. A visible crease is usually visible even after the incision is fully healed.
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Who is a candidate for Panniculectomy?

You may be a candidate for a panniculectomy if you: have recently lost a large amount of weight and have loose belly skin that you want to remove. are experiencing hygiene issues from excess skin hanging below the pubic region. keep getting ulcers, infections, and other related issues under the hanging skin.
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How do you get approved for Panniculectomy?

In general, you may be a good panniculectomy candidate if:
  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.
  5. You have recurring or persistent rashes or infections underneath the hanging fold of skin.
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What is a hanging stomach called?

A common reason for this insecurity and anxiety around baring your stomach on the beach or at the pool is 'abdominal panniculus' – the scientific name for stomach overhang that hangs down in front – like an apron of fat. This fatty tissue growth is not only uncomfortable and unsightly, but it is also a health risk.
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How long does it take for insurance to approve a Panniculectomy?

information from your visit is sent to your insurance company for authorization. This process can take from 14-60 days. medical information, your insurance company will make the decision about whether to cover your panniculectomy.
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When is a Panniculectomy medically necessary?

Functional impairment is defined as complete or partial loss of function of a body part. panniculectomy should not be performed until at least 18 months after surgery and only after weight has been stable for the most recent 6 months. Abdominoplasty is considered cosmetic and therefore not medically necessary.
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How much weight can you lose with a Panniculectomy?

In most cases, patients lose a minimal amount, typically under five pounds. Other patients with more extensive loose skin may lose between 5 – 10 pounds, and, sometimes, even more.
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How painful is a tummy tuck recovery?

If you are planning to have a tummy tuck, you should be prepared for one to two months of recovery, and you may experience pain throughout this time. In general, pain is mild to moderate after a tummy tuck. Rarely, pain or sensory abnormalities can persist for months or even years after the procedure.
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Does FMLA cover tummy tuck?

Treatments for cosmetic procedures are not serious health conditions unless complications develop from the procedure or inpatient hospital care is required. So, an employee who takes leave for a tummy-tuck procedure is not covered under the FMLA.
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How long does a tummy tuck last?

Tummy tuck results are considered permanent in that the skin and fat cells that Dr. Greenwald removes during the procedure cannot grow back. Likewise, any internal sutures that he places to repair stomach muscles are designed to remain in place indefinitely.
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What is a plus size tummy tuck?

A plus size tummy tuck, sometimes called a high BMI tummy tuck or an overweight tummy tuck, is a procedure where a plastic surgeon removes excess fat and skin from the abdominal area. When extra fat and skin are removed, the abdominal muscles can begin to tighten, and as a result, reveal a slimmer, smaller stomach.
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What is a mini tummy tuck?

A mini tummy tuck is the same procedure as a full tummy tuck, just performed on a patient with less fat and skin to remove. (“Mini” refers to the amount of fat and skin removed.) During a mini tummy tuck, Dr. Ortiz will make a small incision similar to the incision made during a cesarean section.
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