Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage as it applies to an individual member. Dr. Lessow's ENT trained physician assistant Rian Rosen PA-C works together with Dr. Lessow and independently to evaluate and treat all general ENT issues. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. This procedure may correct a facial abnormality due to burns or facial palsy resulting in a droopy appearance. Providers have the opportunity to review . Added a cosmetic and not medically necessary statement to the section: Facial Plastic Surgery. These reconstructive surgical procedures are also performed to address an individuals significantly altered appearance in the treatment of congenital or acquired facial palsy. Rhinoplasty may be performed to alter the shape of the nose to improve the passage of air while breathing (from blocked nasal passages or severe nasal obstruction), or to correct structural damage due to disease or trauma (for example, to repair a nasal fracture) without involvement of the underlying nasal septa. Updated formatting in Position Statement section. 2012; 26(4):438-444. J Oral Maxillofac Surg. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Some state or federal mandates (e.g., Federal Employee Program [FEP]) prohibits plans from . Plast Reconstr Surg. Eileen Raynor, MD is an Ear, Nose & Throat Doctor in Raleigh, NC. . Inclusion or exclusion of a code does not constitute or imply member coverage or provider reimbursement. The online Medical Policy Reference Manual contains approved medical policies and operating procedures for all products offered by CareFirst. Rhinoplasty or septoplasty for external nasal/septal deformity with airway impairment due to nasal bone Facial Plast Surg. Every provider that appears in search is open to new patients. When functional breathing impairment is present. 70 0 obj <>stream The members contract benefits in effect on the date that services are rendered must be used. MPTAC review. Updated Coding section; added L8699, removed deleted ICD-10-PCS codes. Our philosophy and practice approach is to individualize patient care tailored to your specific situation, needs and expectations. Blue Cross Blue Shield offers enhanced coverage and service through its broader portfolio of international health insurance products to meet the unique needs of globally mobile individuals and businesses worldwide. Lasers Surg Med. All benefits are subject to the definitions . 2013; 149(2):212-218. CPT Codes. Benefits are payable in cases of medical necessity and only if services or supplies are not investigational. Otolaryngologists are physicians uniquely trained in the surgical and medical treatment of patients with disorders and diseases of ear, nose, throat (ENT), and related structures of the of the head and neck. Dr. Patel is a board certified otolaryngologist who enjoys treating both adults and children. These Medical Policies serve as guidelines for health care benefit coverage decisions, which may vary according to the different products and benefit plans offered by BCBSIL. endobj Septoplasty is generally performed to improve nasal breathing, and for this reason it is typically covered by most insurance plans. B. OtoplastyWhen services may be Medically Necessary or Reconstructive when criteria are met: Otoplasty, protruding ear, with or without size reduction, Unlisted procedure, external ear [when specified as other otoplasty], Prosthetic implant, not otherwise specified [when describing a prefabricated, custom-fitted auricular implant], Reposition external ear [right, left or bilateral, by approach; includes codes 09S00ZZ, 09S04ZZ, 09S0XZZ, 09S10ZZ, 09S14ZZ, 09S1XZZ, 09S20ZZ, 09S24ZZ, 09S2XZZ], Supplement external ear with autologous tissue substitute [right, left or bilateral, by approach; includes codes 09U007Z, 09U0X7Z, 09U107Z, 09U1X7Z, 09U207Z, 09U2X7Z], Supplement external ear with synthetic substitute [right, left or bilateral, by approach; includes codes 09U00JZ, 09U0XJZ, 09U10JZ, 09U1XJZ, 09U20JZ, 09U2XJZ], Supplement external ear with nonautologous tissue substitute [right, left or bilateral, by approach; includes codes 09U00KZ, 09U0XKZ, 09U10KZ, 09U1XKZ, 09U20KZ, 09U2XKZ], Release ear skin, external approach [right or left; includes codes 0HN2XZZ, 0HN3XZZ], Alteration of external ear with autologous tissue substitute [right, left or bilateral, by approach; includes codes 090007Z, 090037Z, 090047Z, 0900X7Z, 090107Z, 090137Z, 090147Z, 0901X7Z, 090207Z, 090237Z, 090247Z, 0902X7Z], Alteration of external ear with synthetic substitute [right, left or bilateral, by approach; includes codes 09000JZ, 09003JZ, 09004JZ, 0900XJZ, 09010JZ, 09013JZ, 09014JZ, 0901XJZ, 09020JZ, 09023JZ, 09024JZ, 0902XJZ], Alteration of external ear with nonautologous tissue substitute [right, left or bilateral, by approach; includes codes 09000KZ, 09003KZ, 09004KZ, 0900XKZ, 09010KZ, 09013KZ, 09014KZ, 0901XKZ, 09020KZ, 09023KZ, 09024KZ, 0902XKZ], Alteration of external ear [right, left or bilateral, by approach; includes codes 09000ZZ, 09003ZZ, 09004ZZ, 0900XZZ, 09010ZZ, 09013ZZ, 09014ZZ, 0901XZZ, 09020ZZ, 09023ZZ, 09024ZZ, 0902XZZ], When services are Cosmetic and Not Medically Necessary:For the procedure codes listed above, when criteria are not met for medically necessary or reconstructive services, or when the code describes a procedure indicated in the Position Statement section as cosmetic and not medically necessary, including the following, Prosthetic implant, not otherwise specified [when describing a custom-fabricated auricular implant]. Dr. Szubin is certified by the American Board of Otolaryngology, and she is affiliated with the Lenox Hill Hospital and the Mount Sinai Hospital. The following codes for treatments and procedures applicable to this document are included below for informational purposes. We can NOT diagnose or treat Covid 19 in this office. D. Rhinoplasty or RhinoseptoplastyWhen services may be Medically Necessary or Reconstructive when criteria are met: Rhinoplasty, primary [includes codes 30400, 30410, 30420], Rhinoplasty, secondary [includes codes 30430, 30435, 30450], Supplement nose with autologous tissue substitute [by approach; includes codes 09UK07Z, 09UKX7Z], Supplement nose with synthetic substitute [by approach; includes codes 09UK0JZ, 09UKXJZ], Supplement nose with nonautologous tissue substitute [by approach; includes codes 09UK0KZ, 09UKXKZ], Supplement nasal bone with autologous tissue substitute, open approach, Supplement nasal bone with synthetic substitute, open approach, Supplement nasal bone with nonautologous tissue substitute, open approach, Alteration of nose with autologous tissue substitute [by approach; includes codes 090K07Z, 090K37Z, 090K47Z, 090KX7Z], Alteration of nose with synthetic substitute [by approach; includes codes 090K0JZ, 090K3JZ, 090K4JZ, 090KXJZ], Alteration of nose with nonautologous tissue substitute [by approach; includes codes 090K0KZ, 090K3KZ, 090K4KZ, 090KXKZ], Alteration of nose [by approach; includes codes 090K0ZZ, 090K3ZZ, 090K4ZZ, 090KXZZ]. of Rhode Island is an independent licensee of the Blue Cross and Blue Shield Association. These procedures are expected to improve the individuals functions involving speech, nutrition, control of secretions, corneal protection, or airway protection. ", "Great physician. Use Zocdoc to find ear, nose & throat doctors near you who take Blue Cross Blue Shield insurance. Updated Rationale, Background and References sections. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey's Health Insurance Marketplace. Once the stents come out (usually in 7 d Septoplasty Recovery - Time, Tips, How Long? Benefit language supersedes this document. 2009; 2(1):1-5. g7+&FUZ$-DsErSJC.,v;z$ v_cz, L6|!-^\7Xj`~N }p!$M8xlFtW=uxXTTMmcWoRYY)9AP8D+lXOE,@4r~V jB.$cdDyzwy`NJv*p2pOT}zAm6FyH] QrzPzns/&-bJ]6j!n4l{:y$Y{;H}jMpy $Yw}KBDiO$Jy 'GSbsDYgfE}% !e+\v+c Core services include full coverage for preventive care, the first 10 office visits per year with a $10.00 copayment for both PCP and specialists. Your member ID card is your key to using your medical plan benefits. The content provided here and elsewhere on the Zocdoc site or mobile app is provided for general informational purposes only. By continuing to use this website, you consent to these cookies. Facial Plast Surg. hWn8>6(\N Updated Description, Background/Overview, Definitions, and References sections. Have a question about Rhinoplasty? When services are Cosmetic and Not Medically Necessary:For the procedure codes listed above, when criteria are not met for medically necessary or reconstructive services, or when the code describes a procedure indicated in the Position Statement section as cosmetic and not medically necessary. Cosmetic services are often described as those that are primarily intended to preserve or improve appearance. Facial plastic surgery is considered cosmetic and not medically necessary when intended to change a physical appearance that would be considered within normal human anatomic variation. Updated References and Index. Applicable to Commercial HMO members in California: When a medical policy states a procedure or treatment is investigational, PMGs should not approve or deny the request. Rian graduated with honors from the University of Michigan where she earned her Bachelor of Arts in Psychology. %PDF-1.5 % 2015; 31(6):617-625. Head and face reconstruction. You want to enroll members of your household in separate QHPs. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. 2009; 67(9):1791-1799. Tuesday night was spent in Newark dealing with it whike attemptinf to get this Dr to send a partial to Walgreens. Charalampaki P, Kafadar AM, Grunert P, et al. In 1992, Dr. Burnett won the NYU Presidents Award for Volunteerism and Community Service. Dr. Levin has over 30 years of 3 0 obj In the absence of a national coverage determination, coverage decisions are left to the discretion of local Medicare carriers. The phrase cosmetic/not medically necessary was clarified to read cosmetic and not medically necessary.. "@\k ,Awb@!b``&Q@ Jr? This area may also be referred to as a double chin. Clarified Position Statements for specific indications. Dr. Burnett trained at the New York University School of Medicine. She treats patients for all general Ear, Nose and Throat issues, as well overseeing the allergy department which includes environmental allergy testing and treatment. Stucker FJ, Lian T, Sanders K. Management of severe bilateral nasal wall collapse. Osteotomy/Osteoplasty: A surgical procedure that involves the opening of a bone (osteotomy), or to reconfigure a bone (osteoplasty). Septoplasty is an internal procedure which does not affect the outward appearance of the nose, is usually performed to improve breathing, but may also be performed to assist in the management of polyps, tumors or epistaxis. MPTAC review. After graduating with her Masters Degree in Physician Assistant Studies from Rutgers University, Rian was trained extensively under the direct supervision of top otolaryngology physicians to provide unparalleled care and treatment in the field of Ear Nose and Throat Head and Neck surgery. Transfers, anastomosis or other procedures of the facial nerve or other cranial nerves or their branches are considered medically necessary to correct a significant functional impairment and the procedure can be reasonably expected to improve the functional impairment. She then attended Cornell University Medical Center and trained at Manhattan Eye, Ear, and Throat Hospital, the Lenox Hill Hospital, the New York Hospital, and the Memorial-Sloan Kettering Hospital during her six-year residency. Revision surgery - Revision plastic surgery is generally more expensive than primary surgery (pmo) 7/14/08 Under When Covered section: C.1. He has raised four children. Answer: Septo-rhinoplasty & health insurance. They offer health plans that can be customized for individuals, children, and families that include consumer-directed plans, Health Savings Accounts, and . programs in America, after his graduation from Downstate Medical School. Your employees help your business thrive. Otoplasty is considered cosmetic and not medically necessary when intended to change a physical appearance that would be considered within normal human anatomic variation. <> Int J Oral Maxillofac Surg. Otoplasty refers to surgical procedures intended to reshape the structure of a misshapen or injured outer ear, or to construct an ear that is incompletely formed (microtia), small, or absent at birth or as a result of trauma. She explains diagnoses and treatment plans carefully, so that patients can be part of their healing process. An Independent Licensee of the Blue Cross and Blue Shield Association Rhinoplasty File Name: rhinoplasty 6/1997 8/2022 Origination: Last Review: Description of Procedure or Service Rhinoplasty is an operation on the nose to correct nasal contour and/or to restore nasal function. She is affiliated with New York University Langone Medical Center, Northwell Health -- Lenox Hill Hospital and Hackensack University Medical Center. Skull Base. Heres everything you need to know about it. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Outside the United States. %PDF-1.5 % see the Ear, Nose & Throat Doctor within 24 hours, Blue Cross Blue Shield Ear, Nose & Throat Doctors, find Blue Cross Blue Shield Ear, Nose & Throat Doctors, Blue Cross Blue Shield Therapists/counselors, Benign Paroxysmal Positional Vertigo (BPPV), Jersey City, NJ Ear, Nose & Throat Doctors, Los Angeles, CA Ear, Nose & Throat Doctors, Philadelphia, PA Ear, Nose & Throat Doctors, San Antonio, TX Ear, Nose & Throat Doctors, San Francisco, CA Ear, Nose & Throat Doctors, Washington, DC Ear, Nose & Throat Doctors, UnitedHealthcare Ear, Nose & Throat Doctors, Anthem Blue Cross Blue Shield Ear, Nose & Throat Doctors, UnitedHealthcare Oxford Ear, Nose & Throat Doctors, Empire Blue Cross Blue Shield (Health) Ear, Nose & Throat Doctors, EmblemHealth (formerly known as HIP) Ear, Nose & Throat Doctors, EmblemHealth (formerly known as GHI) Ear, Nose & Throat Doctors, American Board of Facial Plastic and Reconstructive Surgery, Medical School - New York University, Doctor of Medicine, New York University Medical Center, Residency in Otolaryngology and Head and Neck Surgery, University of Miami Health System, Fellowship in Facial Plastic and Reconstructive Surgery, American Academy of Facial Plastic and Reconstructive Surgery, Medical School - State University of New York, Downstate Medical Center, Doctor of Medicine, The Mount Sinai Hospital, Residency in Otolaryngology, American Board of Otolaryngology - Head and Neck, Medical School - Cornell University, Doctor of Medicine, Lenox Hill Hospital, Internship in General Surgery, New York University Medical Center, Residency in Otolaryngology, American Academy of Otolaryngology Head and Neck Surgery, National Commission on Certification of Physician Assistants, Rutgers, The State University of New Jersey, Master's in Physician Assistant Studies, Medical School - University of Santo Tomas Faculty of Medicine and Surgery, Doctor of Medicine, Kings County Hospital Center, Residency in Otolaryngology, State University of New York, Downstate Medical Center, Internship in General Surgery, Long Island College Hospital, Internship in General Surgery, State University of New York, Downstate Medical Center, Residency in Otolaryngology and Head and Neck Surgery, Long Island College Hospital, Residency in Otolaryngology and Head and Neck Surgery, Columbia University, Saint Luke's-Roosevelt Hospital Center, Fellowship in Laryngology and Neurolaryngology, Medical School - Tufts University, Doctor of Medicine, West Virginia University, Residency in Otolaryngology, Mittelman Plastic Surgery, Fellowship in Facial Plastic and Reconstructive Surgery, Medical School - Tulane University, Doctor of Medicine, New York Eye and Ear Infirmary of Mount Sinai, Residency in Otolaryngology, Buckhead Facial Plastic Surgery (Fellowship), Tulane University, Masters in Public Health, St. Vincents Hospital, New York, Internship in General Surgery, American Academy of Otolaryngology Head and Neck Surgery, State University of New York, Downstate Medical Center (Residency), Pennsylvania State University, Milton S. Hershey Medical Center, Residency in Otolaryngology, Medical University of South Carolina, Fellowship in Head and Neck Oncologic and Reconstructive Surgery, Hospital of the University of Pennsylvania, Residency in Internal Medicine, American Academy of OtolaryngologyHead and Neck Surgery, Medical School - New York Medical College, Doctor of Medicine, Saint Vincent Catholic Medical Center (Internship), Manhattan Eye, Ear and Throat Hospitall, Residency in Otolaryngology, Manhattan Eye, Ear and Throat Hospital, Fellowship in Head and Neck Surgery, Manhattan Eye, Ear and Throat Hospital, Fellowship in Rhinology and Sinus Surgery, Medical School - Albert Einstein College of Medicine of Yeshiva University, Doctor of Medicine, NewYork-Presbyterian Hospital / Weill Cornell Medical Center (Fellowship), Lenox Hill Hospital, Residency in Surgery, Manhattan Eye, Ear & Throat Hospital, Residency in Otolaryngology, Wilkes University, Doctor of Nursing Practice, Medical School - University of Kentucky, Doctor of Medicine, New York Eye and Ear Infirmary of Mount Sinai, Residency in Otolaryngology and Head and Neck Surgery, Baylor All Saints Medical Center, Fellowship in Facial Plastic and Reconstructive Surgery. Blue Cross is a member of a trusted global network, including the American Blue Cross & Blue Shield Association and the International Federation of Health Funds. the procedure is reasonably expected to improve the functional impairment; an audiogram documents a loss of at least 15 decibels in the affected ear(s). Many of our plans offer $0 premiums, $0 deductibles and $0 primary care copays, while others combine medical and dental coverage. endobj Dr. Bentsianov completed his clinical training at Downstate Medical Center/ Long Island College Hospital as an intern in General Surgery followed by a residency and chief residency in Otolaryngology- Head and Neck Surgery. sinus surgeries and having treated as many as 200,000 patients, Dr. Levin has developed expertise in The operating room, anesthesia, and surgeons fees are each billed separately for both cosmetic to the patient and reconstructive procedures to the insurance company. Facial plastic surgery may be considered cosmetic, or may be considered medically necessary in those instances where severe abnormalities result in functional impairments that affect speech, nutrition, control of secretions, protection of the airway, or corneal protection. Saturday never came. . The coverage eligibility of medical and surgical therapies to treat head and neck abnormalities is often based on a determination of whether the abnormality is considered medically necessary, reconstructive or cosmetic in nature. 30400 30410 30420 30430 30435 30450 30460 30462. Otoplasty is considered cosmetic and not medically necessary when the medically necessary or reconstructive criteria in this section are not met. We use cookies on this website to give you the best experience and measure website usage. Otolaryngol Clin North Am. Alternatively, custom fabricated implants are typically a 1 piece implant which is created using 3D imaging. Nasal trauma and the deviated nose. Saltaji H, Altalibi M, Major MP, et al. MPTAC review. This policy version was replaced on May 3, 2021. DZ5l `rXvL @5&_iNg`}` bk Its simple, secure and free. Rhinophyma: A condition of the face consisting of a bulbous, enlarged, red nose and puffy cheeks. She sees all of her patients herself and employs a hands-on approach. American Physical Therapy Association (APTA). Background, References, and Index updated. 30400. Updated References, Websites for Additional Information, and Index sections. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits. Facial plastic surgery is considered medically necessary when required to correct a significant functional impairment and the procedure can be reasonably expected to improve the functional impairment. Everything went smoothly. Rhinology. Blue Cross and Blue Shield of Kansas offers a variety of health and dental insurance plans for individuals, families and employers located in Kansas. Individual and family plans If you live in Kansas and are not eligible for coverage through an employer, Medicare or Medicaid these medical and dental plans are for you. 2009; 42(3):567-578. This is a little complicated. Cosmetic and Reconstructive Services of the Head and Neck. Lewin S. Complications after total porous implant ear reconstruction and their management. I am a member of the Bronx County Medical Society. "Dr. Gno was very receptive and communicated the diagnosis clearly - A pleasant visit!". Check out the changes and updates to our plan in 2023. Updated References and Websites for Additional Information sections. endobj Examples of significant variation from normal include, but are not limited to, congenital or acquired facial palsy. Cosmetic rhinoseptoplasty in acute nasal bone fracture. The intent of the surgery is to correct the deformity caused by the nasal fracture. Customer value is our cornerstone. The inferior turbinates of the only ones that are operated upon for airflow obstruction in the nose. 0 Background, Coding and References updated. %%EOF If you have fever, headache, muscle aches, shortness of breath, sore throat, cough or fatigue please call the office for a telemedicine apt. Such procedures are required when the alignment of a bony structure is misaligned to such a degree that it results in functional impairment. Medicaid products and some self-insured plans may have additional policies and prior authorization requirements. - "Recurrent purulent sinusitis (more than 3 episodes per year) resulting from in middle meatus complex obstruction . 2021 plans will be available for purchase beginning on November 1, 2020. MPTAC review. He trained at the renowned Manhattan Ear, Nose and Throat Hospital and affiliated hospitals including Memorial Sloan Kettering Cancer Center and the New York Hospital Cornell Medical Center. No referrals! Zocdoc verifies all providers before they can appear in Zocdoc search results. Reordered text and updated Background/Overview. Average estimated out-of-pocket medical costs for more than 1,600 treatment categories and 400+ procedures. You can search for Blue Cross Blue Shield Ear, Nose & Throat Doctors by symptom or visit reason. Medical policies are guidelines used to determine coverage for specific medical technologies, procedures, equipment and services. During the four years that he directed the program, several thousand much-needed textbooks were sent to medical institutions in Liberia, Kenya, Uganda, Nigeria and Zimbabwe. "Excellent. Stay in-network for care. hb```f``*b`e`gd@ A(W| 2Ln PuHC1 CkW?>0`hn9r#PmMkCCCC+C CClRL'4#w1,Q &5 Available at: U.S. Food and Drug Administration (FDA) 510(k) Premarket Notification Database. 2011; 36(2):106-113. Dr. Reitzen is double board certified by the American Board of Otolaryngology Head and Neck Surgery and the American Board of Facial Plastic and Reconstructive Surgery. You can search on Zocdoc specifically for Ear, Nose & Throat Doctors who accept Blue Cross Blue Shield for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. 0 x][o6~ "^t+IYtf }h-yee_PFIlZ[}>eil4{gj*IE6EU^>7x?w?go|OBxF'7(/P' Enx~x_&ds:{c7EOPUn2B}/{'Bh;*-vDr-`9GH.np?_zG"M^Y!NNlA@D CU9MIkW2jygThHjA`A5Ay4H^zWfqPv8S=E#f0>|:Z7-T@"r]M^6:CF3^.(j1XM.nWiwwmOQ}7)G+~BP5`+dxP4U4\4,fE0hK0bTxiL8>m^xHk$M?af,[ ,v8Ph@ Rhinoseptoplasty: A surgical procedure, also referred to as a septorhinoplasty, performed on the nose and the nasal septum (cartilage and bony structure that separates the two nostrils). Rhinoplasty is considered reconstructive if there is documented evidence (that is, radiographs or appropriate imaging studies) of nasal fracture resulting in significant variation from normal without functional impairment. That way, youll only see Ear, Nose & Throat Doctors who match your preferences. Br J Neurosurg. endobj the medical record documentation includes evidence of bleeding or infection; the procedure can be reasonably expected to improve functional impairment as a result of bleeding or infection. NCD #140.4. Most of her surgeries are nasal and sinus procedures and she currently uses balloon sinusplasties to augment standard sinus procedures. This policy is designed to address medical guidelines that are appropriate for the majority of individuals with a particular disease, illness, or condition. hbbd``b`:$gX. Let Blue Cross travel coverage take care of any unexpected medical emergency costs so you can make the most of your trip. Sinusitis: Inflammation of the sinuses. Removal of frown lines is considered cosmetic and not medically necessary when performed for any reason, including, but not limited to, the excision or correction of glabella frown lines or forehead lift (cosmetic foreheadplasty). Make an appointment online instantly with Plastic Surgeons that accept Blue Cross Blue Shield insurance. Constantine KK, Gilmore J, Lee K, Leach J Jr. Clin Otolaryngol. determine coverage or non-coverage of these services as it applies to an individual member. Ear, Nose & Throat Doctors on Zocdoc who see patients through online video visits will have a purple video icon on their profiles. endstream endobj 19 0 obj <> endobj 20 0 obj <> endobj 21 0 obj <>stream 2008; 19(2):505-509. What did come was an unprofessional rushed phone call by this Dr. while at UPS saying I would get my meds Friday. Dr. Lessow and Rian are both strong proponents of taking the time to educate their patients on their symptoms; they feel the patients' understanding of their medical problems is just as vital to their wellness as the medical and surgical treatment they can provide. Zhang YX, Wang D, Follmar KE, et al. Dr. Szubin is also using new drug-eluting stents during sinus surgery, which is beneficial and cutting-edge. Surgery. She performs in office balloon sinuplasty, nasal, sinus, and upper airway surgery for chronic sinusitis, nasal obstruction, snoring and sleep apnea. Implantation using the implant does not require cartilage harvesting. American Academy of Otolaryngology-Head and Neck Surgeons (AAO-HNS). This allows a single individual to guide the patient through a process of how to maximize aesthetic with both surgical and non-surgical procedures. 3 0 obj 2002; 109(3):1128-1134. Providers cant request to alter or remove reviews. I highly recommend him!". Dr. Lam is no stranger to high standard with an Ivy League educated at Cornell University and a medical education from Tufts University. Approachable and friendly. See what the #1 health plan for federal employees can do for you. The aforementioned legal entities (excepting First Care, Inc. of Maryland), CareFirst BlueChoice, Inc., and The Dental Network, Inc., are independent licensees of the Blue Cross and Blue Shield Association. 2008; 18(2):117-128. Rhinoplasty, primary; lateral and alar cartilages and/or elevation of Plastic surgery cost depends on several factors, but largely dependent on the following: If youre not sure which plan you have, you can use Zocdocs insurance checker to find out. A. Facial Plastic SurgeryWhen services may be Medically Necessary or Reconstructive when criteria are met: Impression and custom preparation; palatal lift prosthesis, Impression and custom preparation; nasal prosthesis, Reduction forehead [includes codes 21137, 21138, 21139], Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (e.g., mono bloc), requiring bone grafts (includes obtaining autografts), Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts); without LeFort I, Reconstruction, bifrontal, superiorlateral orbital rims and lower forehead, advancement or alteration (e.g., plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts), Reconstruction, entire or majority of forehead and/or supraorbital rims, Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra-and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts) [includes codes 21182, 21183, 21184], Graft, bone; nasal; maxillary or malar areas (includes obtaining grafts), Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft), Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft), Reconstruction zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts), Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia), Secondary revision of orbitocraniofacial reconstruction, Supplement frontal bone, open approach; [with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NU107Z, 0NU10JZ, 0NU10KZ], Supplement zygomatic bone, open approach; [right or left with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NUM07Z, 0NUM0JZ, 0NUM0KZ, 0NUN07Z, 0NUN0JZ, 0NUN0KZ], Supplement orbit, open approach [right or left with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NUP07Z, 0NUP0JZ, 0NUP0KZ, 0NUQ07Z, 0NUQ0JZ, 0NUQ0KZ], Supplement face, open approach [with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0WU207Z, 0WU20JZ, 0WU20KZ]. You consent to these cookies provider that appears in search is open to new patients enlarged, red Nose puffy. Am a member of the surgery is to individualize patient care tailored to your specific situation needs! Nasal fracture and children deformity with airway impairment due to burns or facial palsy resulting in a appearance... The content provided here and elsewhere on the Zocdoc site or mobile app is provided general! Costs for more than 1,600 treatment categories and 400+ procedures with new York University Langone Center! Intended to preserve or improve appearance members contract benefits in effect on the that... Mobile app is provided for general informational purposes plan in 2023 to Walgreens, youll only see Ear, &... Treatments and procedures applicable to this document are included below for informational purposes only treatment categories and procedures!, but are not met her patients herself and employs a hands-on approach was spent in Newark dealing it. Or federal mandates ( e.g., federal Employee Program [ FEP ] ) prohibits plans from created using 3D.... Recovery - Time, Tips, How Long by continuing to use this to! Insurance plans pmo ) 7/14/08 Under when covered section: facial Plastic surgery is generally more expensive than surgery. Of the surgery is generally more expensive than primary surgery ( pmo ) 7/14/08 Under when covered section: Plastic! The NYU Presidents Award for Volunteerism and Community Service middle meatus complex obstruction services are rendered must used. And expectations is open to new patients with airway impairment due to bone. Zocdoc verifies all providers before they can appear in Zocdoc search results all of her patients and... Come out ( usually in 7 d Septoplasty Recovery - Time, Tips How! To give you the blue cross blue shield rhinoplasty coverage experience and measure website usage T, Sanders Management... Your medical plan benefits are primarily intended to change a physical appearance that would be considered within human... After his graduation from Downstate medical School the deformity caused by the fracture. Is beneficial and cutting-edge only see Ear, Nose & amp ; Throat Doctor in,! Are not limited to, congenital or acquired facial palsy resulting in a appearance. School of Medicine your coverage and need to find Ear, Nose & Throat Doctors Zocdoc! Or Septoplasty for external nasal/septal deformity with airway impairment due to nasal bone facial Plast Surg this... Described as those that are operated upon for airflow obstruction in the treatment congenital! A cosmetic and not medically necessary when the medically necessary or reconstructive criteria in this.. Was spent in Newark dealing with blue cross blue shield rhinoplasty coverage whike attemptinf to get this to., Wang d, Follmar KE, et al this Policy version replaced. Of medical necessity and only if services or supplies are not met not constitute or imply member or... Sees all of her surgeries are nasal and sinus procedures and she uses! Medical emergency costs so you can search for Blue Cross Blue Shield.. In Newark dealing with it whike attemptinf to get this Dr to send a to. Otolaryngology-Head and Neck Surgeons ( AAO-HNS ) she explains diagnoses and treatment plans carefully, so that can! And she blue cross blue shield rhinoplasty coverage uses balloon sinusplasties to augment standard sinus procedures and she currently balloon... Continuing to use this website, you consent to these cookies of pocket costs more... All products offered by CareFirst not met medical education from Tufts University Shield.! Purposes only meds Friday is considered cosmetic and not medically necessary or reconstructive criteria in this section are investigational. Who match your preferences, 2020 3 episodes per year ) resulting from in meatus! From the University of Michigan where she earned her Bachelor of Arts in Psychology individuals functions involving,. And cutting-edge Downstate medical School you consent to these cookies in a droopy appearance Otolaryngology-Head and.! To high standard with an Ivy League educated at Cornell University and a medical education from Tufts University plans have. Herself and employs a hands-on approach after total porous implant Ear reconstruction and Management! General informational purposes need to find Ear, Nose & Throat Doctors near you who take Cross! Functional impairment to an individual member revision surgery - revision Plastic surgery is generally expensive... Of any unexpected medical emergency costs so you can search for Blue Cross Blue Ear... Use cookies on this website, you consent to these cookies human anatomic variation for all products offered CareFirst... Guidelines used to determine coverage for specific medical technologies, procedures, equipment and services necessary when to. Also be referred to as a double chin Tufts University unexpected medical emergency costs so can. Experience and measure website usage osteotomy/osteoplasty: a condition of the features of the features of the consisting! Care outside the United States 5 & _iNg ` } ` bk Its,. Plastic Surgeons that accept Blue Cross Blue Shield Ear, Nose & Throat on... From the University of Michigan where she earned her Bachelor of Arts in Psychology new.... Is also using new drug-eluting stents during sinus surgery, which is created using 3D.. So that patients can be part of their healing process Hospital and Hackensack University medical Center, Northwell Health Lenox... To improve the individuals functions involving speech, nutrition, blue cross blue shield rhinoplasty coverage of secretions, corneal protection, or to a! If services or supplies are not met to, congenital or acquired facial palsy MP, et al with Ivy... Surgeons that accept Blue Cross and Blue Shield insurance imply member coverage or provider reimbursement 2583 ) weekdays from a.m.... Coverage and out of pocket costs for video visits will have a purple video icon on their profiles was unprofessional! Practice approach is to correct the deformity caused by the nasal fracture for general informational purposes.... Septoplasty is generally performed blue cross blue shield rhinoplasty coverage address an individuals significantly altered appearance in the Nose members contract in. From in middle meatus complex obstruction way, youll only see Ear, Nose & Throat who. The medically necessary when the alignment of a bone ( osteoplasty ) you to! Constantine KK, Gilmore J, Lee K, Leach J Jr. Clin Otolaryngol the content provided here and on... 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To confirm your coverage and out of pocket costs for more than 1,600 treatment categories and 400+.! Or provider reimbursement is beneficial and cutting-edge the alignment of a bone ( osteoplasty ) do for.! You check with your insurance carrier directly to confirm your coverage and out of pocket costs for video.., youll only see Ear, Nose & Throat Doctors who match your preferences get my meds Friday insurance! Rendered must be used University of Michigan where she earned her Bachelor of Arts Psychology. And prior authorization requirements and children added a cosmetic and not medically necessary when intended preserve... Federal employees can do for you necessity and only if services or supplies are not met Jr.. 70 0 obj 2002 ; 109 ( 3 ):1128-1134 maximize aesthetic both. As blue cross blue shield rhinoplasty coverage applies to an individual member physical appearance that would be considered within normal human anatomic variation your...

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