Re: Abdominoplasty with TAH

From: DoctorJoe@aol.com
Sat Jun 13 15:44:24 1998


In a message dated 6/13/98 12:26:00 PM, you wrote:

<<This is a good idea and I have had requests for it. However, abdominoplasty is not on my surgical privilege list and is not likely to ever get on the list unless I obtain special documented training in plastic surgery.

I could have my friendly plastic surgeon do the abdominoplasty when I do the TAH, but our HMOs, etc. do not consider an abdominoplasty a “medically necessary” procedure for the situation indicated. Thus, they will not give the necessary pre-authorization for such a combined procedure.

Most of my patients can not or do not want to pay a plastic surgeon the additional cost for an abdominoplasty at the time of their TAH.>>

Well, the patient (or the insurer) is presumably paying for the hysterectomy anyway... I put it on as a scar revision or some other thing like that, to make everyone happy. And as far as hospital privileges, I don't know where this would fit. I guess some of the plastics people COULD get upset about it, but no one has said anything to me, after the few I've done...

Joe P.





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