Plastic Surgery Billing
Plastic surgery billing separates reconstructive procedures that insurance may cover from cosmetic services that patients pay for. Strong documentation, photographs and prior authorization are essential to prove medical necessity and get reconstructive claims paid.
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Common Services Billed in Plastic Surgery
Breast reconstruction
Reduction mammaplasty (medically necessary)
Functional eyelid surgery (blepharoplasty)
Burn and scar reconstruction
Hand surgery
Reconstruction after skin cancer removal
Cleft and congenital anomalies
Post-bariatric body contouring
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Common Plastic Surgery Billing Codes
✅ Frequently Billed Services
| CPT Code | Description |
|---|---|
| 99202–99215 | New/established patient office visits |
| 19318 | Breast reduction |
| 15822 | Blepharoplasty, upper eyelid |
| 19357 | Breast reconstruction with tissue expander |
| 14060 | Adjacent tissue transfer, eyelids, nose, ears or lips, up to 10 sq cm |
Medical necessity letters, photos and pre-authorization determine whether reconstructive claims are approved. Our team reviews coding, submits clean claims, follows up on denials and recovers unpaid accounts receivable for plastic surgery practices.
