Hair transplants performed to correct male pattern baldness or age-related hair thinning in women are considered cosmetic. Testicular prostheses: Considered medically necessary for replacement of congenitally absent testes, or testes lost due to disease, injury, or surgery.
Only 2 studies reported on the outcome of cosmetic surgery performed on BDD patients; surgical interventions, however, seemed to result in new preoccupations with the prolongation of psychiatric co-morbidity. The authors concluded that BDD is a common psychiatric disorder that could sometimes lead to cosmetic surgery.
Aetna plans exclude coverage of cosmetic surgery that is not medically necessary, but generally provide coverage when the surgery is needed to improve the functioning of a body part or otherwise medically necessary even if the surgery also improves or changes the appearance of a portion of the body. Additionally, many Aetna plans specify that ...
Additionally, many Aetna plans specify that certain procedures are not considered to be cosmetic surgery (e.g., surgery to correct the result of injury, post-mastectomy breast reconstruction, breast augmentation to treat gender dysphoria, surgery needed to treat certain congenital defects such as cleft lip or cleft palate).
Excision or shaving of rhinophyma is considered cosmetic when the afore-mentioned criteria are not met. Keloids: Repair of keloids is considered medically necessary if they cause pain or a functional limitation.
Scar revision: Repair of scars that result from surgery is considered medically necessary if they cause symptoms or functional impairment. Note: Exceptions to cosmetic surgery exclusion may apply to repair of scars that do not cause pain or functional impairment. Please check benefit plan descriptions.
Note: Most Aet na plans cover prosthetic devices that temporarily or permanently replace all or part of an external body part that is lost or impaired as a result of disease, injury or congenital defect. The surgical implantation or attachment of covered prosthetics is covered, regardless of whether the covered prosthetic is functional (i.e., regardless of whether the prosthetic improves or restores a bodily function). The following surgical implantations are covered when medical necessity criteria for the prosthetic device are met, even though the prosthetic device does not correct a functional deficit.
There is evidence from controlled clinical trials of the effectiveness of excimer laser treatment of mild-to-moderate psoriasis. However, the comparative effectiveness of topical and laser treatment of psoriasis is unknown because these treatments have not been directly compared in a prospective clinical study.
Aetna considers excimer and pulsed dye laser treatment medically necessary for persons with mild-to-moderate localized plaque psoriasis affecting 10 % or less of their body area who have failed to adequately respond to 3 or more months of topical treatments, including at least 3 of the following: Anthralin;
Plaque psoriasis can appear on any skin surface, although the knees, elbows, scalp, trunk and nails are the most common locations. There are several other types of psoriasis, and between 10 % and 30 % of people with psoriasis also develop psoriatic arthritis.
74450 (Urethrocystography, retrograde, radiological supervision and interpretation) is the correct code to use for the initial reading of an x-ray image in which the urologist injected contrast media into the lower urinary tract, including the bladder and urethra.
To our knowledge, the laser is used most commonly in urology for services provided in conjunction with a cystoscope. However, this does not mean that the laser is not used with open procedures, nor does it mean that the laser is not used with other types of services such as laparoscopic services. The most commonly used codes in which ...