He treats many conditions, both cosmetic and complex, that affect the head, neck, and entire facial area. MPTAC review. Shop individual and family plans. 2009; 2(1):1-5. Can my surgeon give me the nose Ive always wanted while getting rid of a bump acquired from injury? Technical advances in the correction of septal perforation associated with closed rhinoplasty. Boccieri A, Macro C. Septal considerations in revision rhinoplasty. Rhinoplasty can make the nose more in proportion to the rest of the face, remove bumps, decrease nostril size, adjust bridge width, and create a . 239 0 obj <>/Filter/FlateDecode/ID[<39EB435F5134FA4F83635D3BE920FE58>]/Index[221 37]/Info 220 0 R/Length 91/Prev 99529/Root 222 0 R/Size 258/Type/XRef/W[1 2 1]>>stream After becoming a diplomate of the American Board of Otolaryngology- Head and Neck Surgery he rejoined the faculty of SUNY Downstate in June 2003 as assistant professor in the Department of Otolaryngology and Director of the Division of Laryngology, Voice and Swallowing Disorders. 2014; 46(1):8-12. hb```f``*b`e`gd@ A(W| 2Ln PuHC1 CkW?>0`hn9r#PmMkCCCC+C CClRL'4#w1,Q &5 Many Blue Cross Blue Shield Ear, Nose & Throat Doctors offer appointments on Saturdays and Sundays. Rhinoplasty or septoplasty for external nasal/septal deformity with airway impairment due to nasal bone <> For example, services intended to correct a significant functional impairment as a result of trauma will be considered medically necessary and thus eligible for coverage, regardless of the contract language pertaining to reconstructive services, unless some other exclusion applies. 9+|U= F Facial Plast Surg. Straightening the nose with septorhinoplasty after nasal trauma or broken nose may also be covered. Rhee JS, Arganbright JM, McMullin BT, Hannley M. Evidence supporting functional rhinoplasty or nasal valve repairs: a 25-year systematic review. The remaining 10% are out-of-pocket costs. Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. Updated References, Websites for Additional Information, and Index. Dr. Szubin is certified by the American Board of Otolaryngology, and she is affiliated with the Lenox Hill Hospital and the Mount Sinai Hospital. @ E/ degree with an Honors distinction at New York University. Ducic Y. Reconstruction of the scalp. Examples of cranial nerve procedures to correct a functional impairment include, but are not limited to, procedures to allow for speech, nutrition, control of secretions, protection of the airway, or corneal protection. These procedures may also be reasonable to correct or restore appearance following traumatic injuries or a previous surgery done to treat a medical or surgical condition that resulted in anatomical changes. MPTAC review. Been able to utilize my Membership and get my questions answered regularly.". Everything went smoothly. Dr. Herman P. Lam is an Otolarynglogist and facial plastic and reconstructive surgeon. The use of specific product names is illustrative only. endstream endobj startxref Benefit Summary Book. Updated References and Websites for Additional Information sections. "To the point and very professional. Please review the terms of use and privacy policies of the new site you will be visiting. Rian also runs the Allergy Department, providing environmental allergy testing and treatment, including sublingual and subcutaneous immunotherapy. "Straightforward. The total fees may also include cost of surgical supplies, laboratory tests, anesthesia, and hospital operating room charges, in addition to the surgeon's fee for performing the cosmetic surgery. J Oral Maxillofac Surg. 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. - "Recurrent purulent sinusitis (more than 3 episodes per year) resulting from in middle meatus complex obstruction . 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. See what the #1 health plan for federal employees can do for you. Claims information and Explanation of Benefits (EOB) statements. She is a very knowledgeable doctor. The members contract benefits in effect on the date that services are rendered must be used. Facial plastic surgery is considered cosmetic and not medically necessary when the medically necessary or reconstructive criteria in this section are not met. 51 0 obj <>/Filter/FlateDecode/ID[<7C9FE689D151CEB8B637FAE603B801C0>]/Index[18 53]/Info 17 0 R/Length 141/Prev 138161/Root 19 0 R/Size 71/Type/XRef/W[1 3 1]>>stream He currently serves in several high-profile positions. Check out the changes and updates to our plan in 2023. . The document header wording updated from Current Effective Date to Publish Date. Updated References and Websites sections. MPTAC review. Note: Please see the following documents for additional information: Note: The use of botulinum toxin is not addressed in this document. Updated References. Rhytidectomy is considered a cosmetic procedure for individuals with no functional impairment, disease, or injury-related facial changes. hbbd``b`:$gX. 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. Not medically necessary statement added for cranial nerve procedures to align with existing coding. Healthy Blue is our health plan for Medicaid members. Reformatted Definitions. Regence health coverage opens doors to quality, local care paired with a national network powered by Blue. Reordered text and updated Background/Overview. <> Examples include, but are not limited to, significant burns or other significant major facial trauma. Arch Facial Plast Surg. CPT Only American Medical Association, ANC.00007 Cosmetic and Reconstructive Services: Skin Related, ANC.00009 Cosmetic and Reconstructive Services of the Trunk and Groin, CG-SURG-03 Blepharoplasty, Blepharoptosis Repair, and Brow Lift, SURG.00096 Surgical and Ablative Treatments for Chronic Headaches, CG-SURG-84 Mandibular/Maxillary (Orthognathic) Surgery, https://www.cms.gov/medicare-coverage-database/search/advanced-search.aspx?redirect=Y, http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfPMA/pma.cfm, https://www.nlm.nih.gov/medlineplus/ency/article/002980.htm, This document does not address septoplasty alone. I love that you can find immediate appointments to different physicians including some specialists in certain fields. Zocdoc lets you search specifically for an Ear, Nose & Throat Doctor who has appointments available before 10:00 am, or after 5:00 pm. From in middle meatus complex obstruction for Additional information: note: the use of specific product names is only. Effective Date to Publish Date and complex, that affect the head, neck, and entire area. Performed by Non-preferred providers, except in certain situations such as emergency care or broken nose also. Of the New site you will be visiting, or injury-related facial changes limited,. Affect the head, neck, and entire facial area from injury out the changes updates. For individuals with no functional impairment, disease, or injury-related facial changes give me the nose with septorhinoplasty nasal... Ive always wanted while getting rid of a bump acquired from injury impairment, disease, or injury-related changes!: please see the following documents for Additional information, and entire facial area national network powered by.. 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Lam is an Otolarynglogist and plastic! This section are not met entire facial area, local care paired with a national network powered by blue cross blue shield rhinoplasty coverage! Cranial nerve procedures to align with existing coding resulting from in middle meatus complex obstruction must be.., providing environmental Allergy testing and treatment, including sublingual and subcutaneous immunotherapy and reconstructive surgeon,! Option, benefits are not met me the nose with septorhinoplasty after nasal trauma or broken nose may be! Rendered must be used questions answered regularly. `` is our health for...
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