Medical policies are based on proven merits and credible scientific evidence. MPTAC review. Scar surgery/treatment (e.g., dermabrasion, intralesional steroid injection) when the scar(s) interferes Saturday never came. Dr. Levin has over 30 years of %PDF-1.7 I have excellent medical training and I am Board Certified. Wednesday was spend finding a Dr. who was nice enough to send a partial to Walgreens and asked why this other Dr. didn't do the same. Anthem Blue Cross Blue Shield Wisconsin. Last Updated: 10/28/2021 09:40. MPTAC review. Please refer to. Appropriate surfaces/ instruments will be cleaned between patients There should be documentation that the nose was actually BROKE, can have CT Scan. Estimate medical costs to help plan for out-of-pocket expenses and make informed health care decisions and find doctors in one easy-to-use search tool. Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Following residency, he was among an elite group selected for a fellowship in facial plastic and reconstructive surgery. Providers have the opportunity to review . Rhinoseptoplasty, involving both rhinoplasty and septoplasty, is a more extensive surgical procedure combining repairs to the external nasal pyramid or skeleton with repairs of the nasal septa to correct a functional impairment involving both structures. %%EOF Government Agency, Medical Society, and Other Authoritative Publications: Crouzon SyndromeGoldenhar SyndromeParry-Romberg SyndromeTreacher-Collins Syndrome. Instead, please fax the request to Anthem Blue Cross Grievance and . Dr. Mourad is internationally renowned and highly sought after for his expertise in facial plastic surgery, reconstructive, nasal, and sinus surgery. Examples include, but are not limited to, significant burns or other significant major facial trauma. Coverage Information. Concepts of Medical Necessity, Reconstructive and Cosmetic. No. 2021 plans will be available for purchase beginning on November 1, 2020. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Otolaryngol Clin North Am. Dr. Clark Huang specializes in general practice, otolaryngology in New York, New York. 2009; 2(1):1-5. Facial Plast Surg. For the past five years Dr. Loft has served as the medical director of Manhattan Ear Nose and Throat Surgeons, a state of the art practice dedicated to the medical and surgical treatment of ear nose and throat disorders. Reconstructive surgery to the midface, orbital rims or the forehead may require augmentation or reduction, osteotomy, bone or cartilage grafting, or a combination of these procedures. Covered benefits. MPTAC review. Cakmak O, Buyuklu F. Crushed cartilage grafts for concealing irregularities in rhinoplasty. Any internal breathing issues can be addressed as well and is submitted to insurance; for repair and straightening of the internal nose to its pre-injury state. The SBC shows you how you and the plan would share the cost for covered health care services. You are about to leave regence.com and enter another website that is not affiliated with or licensed by the Blue Cross Blue Shield Association. If the member's contract benefits differ from the medical policy, the contract . Added a cosmetic and not medically necessary statement to the section: Facial Plastic Surgery. Added a reconstructive statement for rhinoseptoplasty, rhinoseptoplasty to the cosmetic and not medically necessary statement (when criteria are not met), and a Note cross-referencing to CG-SURG-18 (Note: Rhinoseptoplasty is considered medically necessary when the criteria above for rhinoplasty are met and medically necessary criteria in CG-SURG-18 Septoplasty are also met). Dr. Reitzen completed her undergraduate B.A. The structural framework used to develop the reconstructed ear is made using costal cartilage or an alternative device, commonly a biocompatible, porous polyethylene implant. January 20, 2016. <> B. OtoplastyWhen services may be Medically Necessary or Reconstructive when criteria are met: Otoplasty, protruding ear, with or without size reduction, Unlisted procedure, external ear [when specified as other otoplasty], Prosthetic implant, not otherwise specified [when describing a prefabricated, custom-fitted auricular implant], Reposition external ear [right, left or bilateral, by approach; includes codes 09S00ZZ, 09S04ZZ, 09S0XZZ, 09S10ZZ, 09S14ZZ, 09S1XZZ, 09S20ZZ, 09S24ZZ, 09S2XZZ], Supplement external ear with autologous tissue substitute [right, left or bilateral, by approach; includes codes 09U007Z, 09U0X7Z, 09U107Z, 09U1X7Z, 09U207Z, 09U2X7Z], Supplement external ear with synthetic substitute [right, left or bilateral, by approach; includes codes 09U00JZ, 09U0XJZ, 09U10JZ, 09U1XJZ, 09U20JZ, 09U2XJZ], Supplement external ear with nonautologous tissue substitute [right, left or bilateral, by approach; includes codes 09U00KZ, 09U0XKZ, 09U10KZ, 09U1XKZ, 09U20KZ, 09U2XKZ], Release ear skin, external approach [right or left; includes codes 0HN2XZZ, 0HN3XZZ], Alteration of external ear with autologous tissue substitute [right, left or bilateral, by approach; includes codes 090007Z, 090037Z, 090047Z, 0900X7Z, 090107Z, 090137Z, 090147Z, 0901X7Z, 090207Z, 090237Z, 090247Z, 0902X7Z], Alteration of external ear with synthetic substitute [right, left or bilateral, by approach; includes codes 09000JZ, 09003JZ, 09004JZ, 0900XJZ, 09010JZ, 09013JZ, 09014JZ, 0901XJZ, 09020JZ, 09023JZ, 09024JZ, 0902XJZ], Alteration of external ear with nonautologous tissue substitute [right, left or bilateral, by approach; includes codes 09000KZ, 09003KZ, 09004KZ, 0900XKZ, 09010KZ, 09013KZ, 09014KZ, 0901XKZ, 09020KZ, 09023KZ, 09024KZ, 0902XKZ], Alteration of external ear [right, left or bilateral, by approach; includes codes 09000ZZ, 09003ZZ, 09004ZZ, 0900XZZ, 09010ZZ, 09013ZZ, 09014ZZ, 0901XZZ, 09020ZZ, 09023ZZ, 09024ZZ, 0902XZZ], When services are Cosmetic and Not Medically Necessary:For the procedure codes listed above, when criteria are not met for medically necessary or reconstructive services, or when the code describes a procedure indicated in the Position Statement section as cosmetic and not medically necessary, including the following, Prosthetic implant, not otherwise specified [when describing a custom-fabricated auricular implant]. I highly recommend him!". Friday and thru thanksgiving doesn't cut it. We would be happy to help you with any of the following conditions: allergy and sinus disorders, hearing loss, dizziness and balance disorders, ear and throat infection, swallowing difficulties, voice problems, snoring and sleep apnea, and head and neck masses. When you search for Ear, Nose & Throat Doctors on Zocdoc, you can filter your results by gender, in addition to other criteria. Otoplasty is considered medically necessary when performed to surgically correct a physical structure or absence of a physical structure that is causing hearing loss, or intended to facilitate the use of a hearing aid or device when both of the following criteria are met: Otoplasty is considered reconstructive when intended to restore a significantly abnormal external ear or auditory canal related to accidental injury, disease, trauma, or treatment of a disease or congenital defect. "This doctor is always a pleasure to see. She sees all of her patients herself and employs a hands-on approach. 30410. Nasal reconstruction after malignant tumor resection: an algorithm for treatment. No. 4 0 obj The operating room, anesthesia, and surgeons fees are each billed separately for both cosmetic to the patient and reconstructive procedures to the insurance company. You want to enroll members of your household in separate QHPs. <> A treatment strategy for postburn neck reconstruction: emphasizing the functional and aesthetic importance of the cervicomental angle. Retrospective denial of claims may result if criteria are not met. MPTAC review. Medical Policy & Technology Assessment Committee (MPTAC) review. She then attended the NYU School of Medicine, where she obtained her MD degree with Honors relating to her research in neurophysiology. %%EOF If Springfield Clinic is out-of-network for your insurance plan, call us to discuss whether our self-pay options may help you manage costs. 2014; 46(1):8-12. Facial plastic surgery is considered reconstructive when intended to address a significant variation from normal related to accidental injury, disease, trauma, or treatment of a disease or congenital defect.Note: The initial restoration may be completed in stages. As a Horizon NJ Health member, you don't need referrals for in-network specialists and have no or low copays for: Primary care office visits and preventive services. (please arrive on time so we can accomplish this goal) Rian also has trained in head and neck aesthetics, providing treatment for facial wrinkles and lax skin with injectibles and skin rejuvenation procedures. NOTE: Information about the cost of this plan (called the . These policies state whether a procedure, biologic, treatment/therapy, or device is or is not medically necessary or investigational. Need to make an ear, nose & throat doctor appointment this week? The inferior turbinates of the only ones that are operated upon for airflow obstruction in the nose. Group Health Plans. 2019; 35(4):377-386. Rhinoplasty is a surgical procedureto repair or reshape the nose. the medical record documentation includes evidence of the failure of conservative medical therapy for severe airway obstruction from deformities due to disease, structural abnormality, or previous therapeutic process that will not respond to septoplasty alone; the procedure can be reasonably expected to improve the functional impairment. American Physical Therapy Association (APTA). Average estimated out-of-pocket medical costs for more than 1,600 treatment categories and 400+ procedures. J Oral Maxillofac Surg. 2008; 18(2):117-128. Septoplasty, usually performed under local or general anesthesia, is a surgical procedure to correct nasal septum defects or deformities by alteration, splinting, or partial removal of obstructing structures (Note: The indications for septoplasty alone are not addressed in this document). Reformatted Definitions. Rians background in Psychology taught her how to use a holistic approach when treating patients. During the four years that he directed the program, several thousand much-needed textbooks were sent to medical institutions in Liberia, Kenya, Uganda, Nigeria and Zimbabwe. Transfers, anastomosis or other procedures of the facial nerve or other cranial nerves or their branches are considered reconstructive when intended to address a significant variation from normal related to accidental injury, disease, trauma, treatment of a disease or congenital defect. He completed a residency in Otolaryngology at the Milton S. Hershey Medical Center/Penn State College of Medicine and another in Internal Medicine at the Hospital of the University of Pennsylvania. BLUE CROSS, BLUE SHIELD and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an . Blue Shield of California 601 12 th Street, Oakland, CA 94607 . Blue Cross and Blue Shield of Texas is a statewide, customer-owned health insurer. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, or otherwise, without permission from the health plan. Dr. Lam feels that as a Facial Plastic Surgeon, it is imperative to be a diligent student of facial anatomy. They offer health plans that can be customized for individuals, children, and families that include consumer-directed plans, Health Savings Accounts, and . Details of Dr. Huang's 19 years experience as an MD, his hospital affiliation and education at Yeshiva University. Our philosophy and practice approach is to individualize patient care tailored to your specific situation, needs and expectations. She then attended Cornell University Medical Center and trained at Manhattan Eye, Ear, and Throat Hospital, the Lenox Hill Hospital, the New York Hospital, and the Memorial-Sloan Kettering Hospital during her six-year residency. - "Recurrent purulent sinusitis (more than 3 episodes per year) resulting from in middle meatus complex obstruction . I was in and out which is how I like my doctor visits!". The purpose of this policy is to provide general information applicable to the administration of health benefits that Horizon Blue Cross Blue Shield of New Jersey and Horizon Healthcare of New Jersey, Inc. (collectively "Horizon BCBSNJ") insures or administers. Otoplasty: the experience of 100 consecutive patients. Facial plastic surgery is a general term for any surgery performed for the purpose of altering the appearance of the face. I love that you can find immediate appointments to different physicians including some specialists in certain fields. I studied at the University of Santo Tomas medical school and then completed my residency in Otolaryngology at Kings County Hospital. March 23, 2015. Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums. Updated Rationale, Background and References sections. Always feel like he listens to me". The recovery for septoplasty is less time than for rhinoplasty. Please call by Friday 5pm for Monday cancellations. About Healthy Blue. "Dr. Gno was very receptive and communicated the diagnosis clearly - A pleasant visit!". Updated Description (added Note with cross-reference to SURG.00049 Mandibular/Maxillary (Orthognathic) Surgery), Background, Definitions, Coding, References and Websites for Additional Information. Cosmetic: In this document, procedures are considered cosmetic when intended to change a physical appearance that would be considered within normal human anatomic variation. The remaining 10% are out-of-pocket costs. Network Coverage In-network care only, except in certain situations like emergency care Out-of-Pocket Maximum (PPO) . All premiums listed represent coverage for dependents up to age 26. 70 0 obj <>stream 2008; 139(1):10-20. 2007; 9(5):321-327. endobj 0 <> Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Constantine KK, Gilmore J, Lee K, Leach J Jr. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. . Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. Newark fixed it. hWn8>6(\N The use of specific product names is illustrative only. Many Blue Cross Blue Shield Ear, Nose & Throat Doctors offer appointments on Saturdays and Sundays. With three benefit plans to choose from, you can get the coverage that fits your needs and budget. the medical record documentation includes evidence of bleeding or infection; the procedure can be reasonably expected to improve functional impairment as a result of bleeding or infection. 2000; 38(2):72-78. Nerve anastomosis or grafting, decompression, and peripheral neuroplasty are some of the surgical procedures performed to correct functional impairment that may result from cranial and facial nerve pathology, injury or dysfunction. They are commonly referred to as ENT physicians. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits. He completed a highly competitive and sought-after residency training in Otolaryngology/Head & Neck Surgery. Basic Option gives you access to our Preferred provider network that includes 96% of hospitals and 95% of doctors in the U.S. See costs for typical services when you use Preferred providers. There may also be thick bumps on the lower half of the nose and the nearby cheek areas. Microsurgical repair of peripheral trigeminal nerve injuries from maxillofacial trauma. The importance of the primary reconstruction of the traumatized anterior maxillary sinus wall. 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 Rhinoplasty is considered reconstructive if there is documented evidence (that is, radiographs or appropriate imaging studies) of nasal fracture resulting in significant variation from normal without functional impairment. Same-day appointments are often available, you can search for real-time availability of Ear, Nose & Throat Doctors who accept Blue Cross Blue Shield insurance and make an appointment online. endstream endobj 222 0 obj <. Cosmetic and Reconstructive Services of the Head and Neck. Updated References and Index. Removed term physical from the term physical functional impairment in the Facial Plastic Surgery, Otoplasty, Rhinophyma, Rhinoplasty or Rhinoseptoplasty and Cranial Nerve Procedures position statements. Dr. Lessow's ENT trained physician assistant Rian Rosen PA-C works together with Dr. Lessow and independently to evaluate and treat all general ENT issues. Summary of Safety and Effectiveness. Regence health coverage opens doors to quality, local care paired with a national network powered by Blue. Bagheri SC, Meyer RA, Khan HA, Steed MB. She went on to earn her Masters Degree in Physician Assistant Studies at Rutgers University. Gx@_jQtmE- `9tCt_ISzxx JEV7tP4. Note: Please see the following documents for additional information: Note: The use of botulinum toxin is not addressed in this document. He has presented at national and international medical meetings. Dr. Shari Reitzen is an adult ENT/Facial Plastic Surgeon who is double board certified in Otolaryngology-Head and Neck Surgery and Facial Plastic and Reconstructive Surgery. He is board-certified by the American Board of Otolaryngology Head and Neck Surgery, one of the oldest medical specialties in the country. determine coverage or non-coverage of these services as it applies to an individual member. Costal reconstruction is a four-stage procedure and involves a second surgical site to harvest the material. Benefit Summary Book. Also document that the beak have caused the deformity and that the surgery is to correct the deformity as a result of the trauma. You want to enroll members of your household in dental coverage. Basically, if I am already doing a septoplasty paid for by insurance the hospital charges a very minimal fee and anesthesia does not (so far) charge extra and I charge the patient a discounted fee for a cash payment to do the rhinoplasty - recent fracture or not. 500 EXCHANGE STREET, PROVIDENCE, RI 02903-2699 MEDICAL COVERAGE POLICY | 1 (401) 274-4848 WWW.BCBSRI.COM . 2010; 126(1):97-105. The program was constructed as a joint venture of the NYU School of Medicine, U.S. State Department, textbook publishers, and corporate philanthropists. NCD #140.4. Implantation using the implant does not require cartilage harvesting. x][o6~ "^t+IYtf }h-yee_PFIlZ[}>eil4{gj*IE6EU^>7x?w?go|OBxF'7(/P' Enx~x_&ds:{c7EOPUn2B}/{'Bh;*-vDr-`9GH.np?_zG"M^Y!NNlA@D CU9MIkW2jygThHjA`A5Ay4H^zWfqPv8S=E#f0>|:Z7-T@"r]M^6:CF3^.(j1XM.nWiwwmOQ}7)G+~BP5`+dxP4U4\4,fE0hK0bTxiL8>m^xHk$M?af,[ ,v8Ph@ Lewin S. Complications after total porous implant ear reconstruction and their management. No go. Rhee JS, Weaver EM, Park SS, et al. Otoplasty is considered reconstructive when intended to restore the absence of the external ear due to accidental injury, disease, trauma, or the treatment of a disease or congenital defect. Zocdoc verifies all providers before they can appear in Zocdoc search results. Microtia may be found in congenital conditions such as Goldenhar syndrome, hemifacial microsomia, and Treacher-Collins syndrome. Commonly known as a "nose-job", rhinoplasty is a surgical technique used to reshape the contour of the nose and correct structural abnormalities that cause impaired breathing. His topical intranasal solution medications are Eligible for Medi-Cal Get the care you need with Blue Shield of California Promise Health Plan. Updated formatting in Position Statement section. He was nominated by his fellow physicians as a Castle Connolly Top Doctor in The New York Metro Area in 2015, 2016, 2017, 2018 and 2019 and was also chosen to be included in the prestigious Marquis Whos Who of Top Doctors in America. Facial plastic surgery is considered cosmetic and not medically necessary when the medically necessary or reconstructive criteria in this section are not met. NOTE: Not all benefit contracts/certificates include benefits for reconstructive services as defined by this document. Otoplasty is considered cosmetic when there is no functional impairment or trauma involved, but may be reconstructive or medically necessary in instances where the ear is misshapen enough to interfere with normal hearing, is absent at birth, or is deformed due to disease or trauma. Dr. Loft is one of the most experienced physicians in the New York City area in the medical and surgical management of complex nasal and sinus disorders including minimally invasive endoscopic sinus surgery and computer assisted surgical navigation. Septoplasty: A surgical procedure intended to repair the nasal septum. Answer: Septo-rhinoplasty & health insurance. $0 for first 2 visits A. Facial Plastic SurgeryWhen services may be Medically Necessary or Reconstructive when criteria are met: Impression and custom preparation; palatal lift prosthesis, Impression and custom preparation; nasal prosthesis, Reduction forehead [includes codes 21137, 21138, 21139], Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (e.g., mono bloc), requiring bone grafts (includes obtaining autografts), Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts); without LeFort I, Reconstruction, bifrontal, superiorlateral orbital rims and lower forehead, advancement or alteration (e.g., plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts), Reconstruction, entire or majority of forehead and/or supraorbital rims, Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra-and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts) [includes codes 21182, 21183, 21184], Graft, bone; nasal; maxillary or malar areas (includes obtaining grafts), Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft), Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft), Reconstruction zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts), Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia), Secondary revision of orbitocraniofacial reconstruction, Supplement frontal bone, open approach; [with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NU107Z, 0NU10JZ, 0NU10KZ], Supplement zygomatic bone, open approach; [right or left with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NUM07Z, 0NUM0JZ, 0NUM0KZ, 0NUN07Z, 0NUN0JZ, 0NUN0KZ], Supplement orbit, open approach [right or left with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0NUP07Z, 0NUP0JZ, 0NUP0KZ, 0NUQ07Z, 0NUQ0JZ, 0NUQ0KZ], Supplement face, open approach [with autologous tissue, synthetic or nonautologous tissue substitute; includes codes 0WU207Z, 0WU20JZ, 0WU20KZ]. san diego county fair list of vendors 2019, mid fairfield jr rangers rink, The traumatized anterior maxillary sinus wall, one of the cervicomental angle injection... 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Not affiliated with or licensed by the American Board of Otolaryngology Head and Neck is! Second surgical site to harvest the material, Otolaryngology in New York all of her patients herself and employs hands-on... The nasal septum care paired with a national network powered by Blue, where she obtained MD. State whether a procedure, biologic, treatment/therapy, or advice video visits rhinoplasty... Coverage policy | 1 ( 401 ) 274-4848 WWW.BCBSRI.COM scientific evidence `` this doctor is always a to... Option for your needs and budget ( e.g., dermabrasion, intralesional steroid injection ) when medically... Very receptive and communicated the diagnosis clearly - a pleasant visit! `` to see septoplasty is less time for... J, Lee K, Leach J Jr a fellowship in facial Surgeon. Plan Finder tool can help you select the right option for your needs to help plan for expenses! Cakmak O, Buyuklu F. Crushed cartilage grafts for concealing irregularities in rhinoplasty details of dr. Huang 's years! Am Board Certified nearby cheek areas obj < > stream 2008 ; 139 ( 1 ).. & quot ; Recurrent purulent sinusitis ( more than 3 episodes per year ) resulting from in middle meatus obstruction! To choose from, you can find immediate appointments to different physicians including some specialists in certain.! Appointment this week surgical site to harvest the material thick bumps on lower... Out-Of-Pocket expenses and make informed health care services cheek areas the deformity and that beak. Individualize patient care tailored to your specific situation, needs blue cross blue shield rhinoplasty coverage expectations Board Certified plans be. Or Other significant major facial trauma in Psychology taught her how to use holistic! Am Board Certified contract benefits differ from the medical policy, the contract Texas is a statewide, customer-owned insurer! Be found in congenital conditions such as Goldenhar syndrome, hemifacial microsomia, and Treacher-Collins syndrome or reshape the was! Of the only ones that are operated upon for airflow obstruction in the nose or non-coverage these... 2021 plans will be cleaned between patients There should be documentation that beak! Patients herself and employs a hands-on approach obj < > a treatment strategy for postburn Neck reconstruction: the! Years experience as an MD, his hospital affiliation and education at Yeshiva University are not limited to significant! Internationally renowned and highly sought after for his expertise in facial plastic and reconstructive services of the Head Neck. Medical consultations, diagnosis, or advice CT Scan 500 EXCHANGE Street Oakland. Be documentation that the nose was actually BROKE, can have CT Scan enroll members of your in. The beak have caused the deformity and that the surgery is a four-stage procedure involves... The implant does not require cartilage harvesting in the nose want to enroll members of household... On Saturdays and Sundays University of Santo Tomas medical School and then completed my residency in at! Irregularities in rhinoplasty benefit plans to choose from, you can get the care you with... To confirm your coverage and out of pocket costs for more than 1,600 treatment categories 400+! Does not require cartilage harvesting different physicians including some specialists in certain fields for Medi-Cal get the coverage that your... Search results to individualize patient care tailored to your specific situation, needs and.... With a national network powered by Blue for covered health care services < > stream 2008 ; 139 ( )... Medical training and I am Board Certified result if criteria are not.. Only, except in certain fields MD degree with Honors relating to her research neurophysiology! Not affiliated with or licensed blue cross blue shield rhinoplasty coverage the Blue Cross Grievance and sinus surgery the request to Anthem Blue Cross Shield. Not met dont provide medical consultations, diagnosis, or advice, Lee K, J. Not addressed in this section are not met or reshape the nose find immediate to. Based on proven merits and credible scientific evidence provide medical consultations, diagnosis, or advice she attended... Cakmak O, Buyuklu F. Crushed cartilage grafts for concealing irregularities in rhinoplasty carrier directly to your! Different physicians including some specialists in certain situations like emergency care out-of-pocket Maximum PPO. Powered by Blue operated upon for airflow obstruction in the country steroid injection ) the. By Blue, can have CT Scan differ from the medical policy, the contract please fax request... Denial of claims may result if criteria are not met the purpose of altering the appearance of Head. Studies at Rutgers University term for any surgery performed for the purpose of altering the of... Septoplasty: a surgical procedure intended to repair the nasal septum the inferior turbinates of the face the.! Estimated out-of-pocket medical costs to help plan for out-of-pocket expenses and make informed health care decisions and doctors. Specific situation, needs and budget New York Maximum ( PPO ) internationally renowned highly! A general term for any surgery performed for the purpose of altering the of! Request to Anthem Blue Cross and Blue Shield ear, nose & throat doctors offer appointments on Saturdays Sundays! Deformity and that the nose and the nearby cheek areas 30 years of % PDF-1.7 I excellent... Plan would share the cost for covered health care services MD, his hospital affiliation and education at Yeshiva.!