July 2, 2015

Question:

How can I get insurance to pay for a panniculectomy? The patient lost 150 pounds and has excessive abdominal skin and subcutaneous tissue.

Answer:

Good question! Most payers have a medical policy (also known as “medical necessity”) that must be followed to obtain prior approval for the procedure. Ask the payer, or look on their website, for the policy to make sure you follow their guidelines.