Question:
Does Texas Medicaid cover TT?

I called Texas Medicaid today and told them that I knew they covered hernia repair, but do they cover cpt 15831. He ask what it was and I said a tummy tuck, and it took him a few moments, but came back, and said no they didn't. Its sort of hard for me to believe since that could cause the hernia to come back. Does anyone know for sure if Texas Medicaid covers tt with hernia repair?    — Julie S. (posted on February 24, 2005)

February 24, 2005
I DO KNOW FOR SURE THAT THEY COVER THE HERNIA REPAIR BUT FOR THE TT I REALLY DONT THANK THEY DO . BU TI WISH THEY WOULD . I MY SELF HAVE BEEN TRYING TO FIND OU TIF THEY PAY FOR WLS . DO YOU KNOW IF THEY DO? ALL SO YOU MAY BEABLE TO YOUR PCP TO SAY ITS NECESSARY FOR THE TT BECAUSE OF THE HERNIA. I KNOW I'M ON MY 5 HERNIA MYSELF AND ITS HARD NOT TO BE ABLE TO DO ANYTHING . WELL DONT GIVE UP.DANIELLE
   — DANIELLE A.

February 25, 2005
I thought that I had read that they do not cover WLS in TX, I may be wrong and will stand corrected if so. As for the hernia that usually is medically necessary and a TT is cosmetic, I do not think that the state would pay for a cosmetic procedure.
   — ChristineB

February 27, 2005
Hi. They may pay for removal of excess abdominal skin (this is code 15831)if it is medically necessary. But remember that has nothing to do with a tummy tuck, which tightens muscles, reconstructs the belly button, and is done through a low incision. Liposuction can also be done to shape the result. Simply removing the excess skin does not look attractive and I as a plastic surgeon do not perform them. Remember too that Medicare/medicaide reimbursement is at a level below which it costs to actually provide the services, so the University or teaghing hopsital may be your best bet.
   — DrL

April 8, 2013
dr younan nowzardan takes Medicaid for wls in Houston 713-661-6262. email me for info [email protected]
   — H8BEINFAT