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Wide Abdominoplasty Rectus Plication (WARP)

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

Summary

This is a current BCBS MS policy for Wide Abdominoplasty Rectus Plication (WARP) that covers the procedure only when medically necessary for treating abdominal wall hernias with proper clinical documentation. The procedure is not covered for cosmetic purposes or for treating panniculus, intertrigo, or diastasis recti.

Action Required

Action needed
Billing team should review current WARP procedures to ensure proper hernia diagnosis codes (K40-K46 ranges) are used and clinical documentation includes confirmation of hernia presence and size via examination, ultrasound, or CT abdomen. Do not bill for cosmetic procedures or treatment of panniculus, intertrigo, or diastasis recti as these will be denied.

Affected Billing Codes

15830
15847
K40.00
K40.91
K41.00
K41.91
K42.0
K42.9
K43.0
K43.9
K44.0
K44.9
K45.0
K45.8
K46.0
K46.9