What do I need for insurance to cover panni removal?

mandajolyn
on 1/11/11 1:21 pm - Tallahassee, FL
It's becoming clear that I'll need panni removal at some point. It's already causing hygiene and other issues like rashes and complicating my lower back issues. I've documented the issues I've had but would like info on what I need to document for better chance of panni being covered by insurance?
"Be present for your journey, get to know who you really are and then be your authentic self with NO apologies"
You can follow my journey at mandaschange.blogspot.com
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lk1970
on 1/11/11 10:05 pm
you can call your insurance company and go over your coverage and their requirements, make sure you meet with your PCP when you have those issues and that they document treatment. Take pictures too.

Lisa

      Be the kind of woman that when your feet hit the floor each morning, the devil says "oh crap! she's up!

laura_vermont
on 1/12/11 8:01 am
I got my approval without any issues - I was really pleasantly surprised.  They looked at the area, I told them that I was using lotrimin for rashes & had issues with my belly button.  The surgeon took the pictures - tucked my underwear under my panni. 

I had called my insurance co ahead - and made sure that they covered "reconstruction" after weight loss.  They said that it depended on the "coding" and told me to have a consult.  Took about 2 weeks to get approval.  Scheduled for 3/10!
High Weight 278; consult weight 234; Surgery Weight 219 Surgeon's Goal Weight 150 -10/27/10  -  Personal goal weight 140 - Achieved 12/11/10  
  
loeffler1
on 1/15/11 1:00 pm - Mounds View, MN

Hello,

I had my panni surgery Dec 20th. you have met what seems like some of the major requirements already with loosing the 100lbs but what helped me get approved was my chronic intertrigo which is a skin rash between the folds of skin. I had to have 3 months of documented proof that I went to the doc and tried different meds he prescribed and if this is something you really want you get forgetful on taking them cause there isnt to many meds out there for that issue.  and the code to use for when appealing or what not to insurance is 15830 well it was for BCBS. I lost over 200lbs and it was the intertrigo that got my panni surgery approved. hope this helps some.

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