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Wiki prophylactic mastectomy

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efuhrmann

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If patient has cancer left breast and has bilateral mastectomy performed(prophylactic on right), isn't there a law or policy that insurance has to pay for both?
 
at this point i do not believe there is a law or policy at this time (after researching, perhaps someone else has run across this) it seems to depend on patient policy, some insurances require a pre authorization and i found many other's don't require this when the patient is going in for a mastectomy for breast cancer other breast. i use V50.41 as primary diagnosis and then the breast cancer diagnosis as secondary. so far no claims have been denied. hope this helped some if any.
 
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