Wiki Prophylactic Removal of Breast

[jbuckendorf]

Hi. Can someone in Texas please tell me if Medicare pay for the removal of the breast prophylactically at the same time as removing the other breast for cancer? My doctor performed the surgery but the 2nd breast was denied by Medicare. We are in the Novitas guidelines and I can't find any sources or documentation one way or the other for reimbursement purposes

 

[jdibble]

What codes did you use to bill for the surgery? What was the denial reason?