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Breast Reconstruction Following Mastectomy

Blue Cross & Blue Shield of Mississippi·MS · Plastic Surgery, General Surgery, Oncology·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy establishes comprehensive coverage requirements for breast reconstruction following mastectomy under the Women's Health and Cancer Rights Act of 1998. The policy covers reconstruction of the mastectomy breast, symmetrical surgery on the unaffected breast, prostheses, and treatment of complications including lymphedema.

Action Required

Action needed
Immediately: Billing team must ensure all breast reconstruction claims include proper documentation that the mastectomy was performed due to disease process, congenital absence, or to restore bodily function. Update encounter forms to capture medical necessity documentation. Verify that symmetrical surgery on the contralateral breast is billed appropriately when performed for reconstructive purposes.

Affected Billing Codes

11960
11970
11971
19357
19180
19182
19328
19330
15755
19362
14300
15777
19318
19325
19340
19342
19361
19364
19367
19368
19369
19370
19371
19380