WebCleft Lip/Cleft Palate Repair is considered MEDICALLY NECESSARY for members <18 years of age.3 Facial plastic surgery may be considered MEDICALLY NECESSARY: • for initial restoration of appearance after accidental injury, • to restore bodily function or correct a functional impairment caused by: o An accident, OR o A birth defect, OR WebScar revision. Repair of scars that result from surgery is considered medically necessary if they cause symptoms or functional impairment. ... Table: Applicable CPT / HCPCS / ICD-10 Codes; Code Code Description; CPT codes covered if selection criteria are met: 11200: ... Cleft lip: Q82.5: Congenital non-neoplastic nevus: S01.501+ - S01.512 ...
Coding for Cleft Lip and Palate Surgery - pdf4pro.com
WebJul 4, 2024 · This revision is due to the Q1 2024 CPT/HCPCS Code Update and is retroactive effective for dates of service on or after 1/1/2024. Under ICD-10 Codes that … Web•Cleft lip repair 4 months old with weight at 10 pounds •Cleft palate repair 9 to 12 months of age •Maxillary Expansion 7 or 8 years of age (in prep for alveolar bone grafting … crystal pens for women
Rhinoplasty and septorhinoplasty - HealthPartners
Web1 week to 3 months of age (if needed) Babies born with unilateral cleft lip or unilateral cleft lip and palate have the option of nasoalveolar molding (NAM), a procedure performed by an orthodontist who specializes in treating craniofacial deformities.Beginning in the first few weeks after birth and continuing until the patient is ready for cleft lip repair, NAM … WebIn addition to the above, additional documentation requirements may apply for CPT code 30560; refer to the policy titled Cosmetic and Reconstructive Procedures. *For code descriptions, refer to the : Applicable Codes. section. Definitions : The following definitions may not apply to all plans. WebJun 23, 2024 · Cleft lip repair and cleft palate repair are indicated for: Repair of physical deformity. Nursing, feeding, or speech problems resulting from cleft lip or palate. … crystal pens