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Blue Cross & Blue Shield of MississippiCommercial · Coverage · Medical Policy · MS · Plastic Surgery, General SurgeryLow impact

Wide Abdominoplasty Rectus Plication (WARP)

Effective date
Not stated in the notice
Identified
Jun 20, 2026

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.

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What to do

Action · 2 steps
01Billing 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.
02Do not bill for cosmetic procedures or treatment of panniculus, intertrigo, or diastasis recti as these will be denied.

Codes mentioned

1583015847K40.00K40.91K41.00K41.91K42.0K42.9K43.0K43.9K44.0K44.9K45.0K45.8K46.0K46.9

Original notice

Wide Abdominoplasty Rectus Plication (WARP)
bcbsms.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Blue Cross & Blue Shield of Mississippi policiesMS policy changesPlastic SurgeryGeneral SurgeryCode 15830Code 15847Code K40.00Code K40.91Code K41.00Code K41.91Code K42.0Code K42.9Code K43.0Code K43.9Code K44.0Code K44.9Code K45.0Code K45.8Code K46.0Code K46.9

Summaries are AI-assisted. Always confirm against the original payer notice.

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