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IMPORTANT: MEDICARE RESTRICTS ABDOMINOPLASTY

 

As of the 1st of January 2016 important changes to lipectomy items numbers will apply.  The changes include a wide range of item numbers but the most common procedures it will affect are –

  • Abdominoplasty and mini- abdominoplasty
  • Body lift
  • Thigh lift
  • Arm Reduction
  • Buttock Lift

Essentially to meet the criteria for these item numbers now a patient needs to meet certain criteria –

Must not be purely cosmetic

  1. Fungal skin infection or other condition for at least 3 months
  2. Redundant skin interferes with activities of daily living
  3. Stable weight of 6 months
  4. Had significant weight loss = reduction of BMI by 5.

(For an average height female of 164 cm or 5’4” this means a weight reduction from 93kg to 80 kg)

If you don’t meet this strict criteria you will not be eligible for a medicare item number and therefore won’t be covered for private insurance.