Dvoracek, Lucas A. MD; Gusenoff, Jeffrey A. MD; Peter Rubin, J. MD; Manders, Ernest K. MD. BREAST REDUCTION SURGERY - Health Plan of Nevada mon lapin a une oreille qui tombe 2 seconds ago kayes mali major climate control p15 certificate of fitness renewal 1 Views. Reduction mammaplasty is a common procedure associated with a very high patient satisfaction rate. You may be eligible for coverage if the amount of breast tissue your surgeon plans to remove exceeds the 22nd percentile on the Schnur chart. Before I am currently a 38DD with severe upper back and shoulder pain. . and all women whose breast weight was greater than the 22nd percentile sought the procedure for medical reasons. 0000000998 00000 n hbbd```b``+@$S9d S5< VL~;;0 1g=Xe7}D. {@T5- 1Da@(#{JFW~0 [j` In determining the medical necessity of . Schnur pointed out that if a payer used weight of resected tissue as a coverage criterion, then if the weight fell below the 5th percentile, the reduction mammaplasty would be considered cosmetic; if above the 22nd percentile, it would be considered medically necessary; and if between these cutpoints, it would be considered on a case-by-case basis. trailer %%EOF endstream endobj 40 0 obj <> endobj 41 0 obj <> endobj 42 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>> endobj 43 0 obj <> endobj 44 0 obj <>stream endstream endobj startxref Reduction mammoplasty is considered INVESTIGATIONAL for all other indications not meeting the The Schnur Sliding Scale is an evaluation tool that is used to determine the appropriate amount of tissue . The Schnur Sliding Scale chartis an evaluation method for physicians to use on individuals considering breast reduction surgery. Those lines (at the 22nd and 5th percentile) are the lines of the Schnurr Scale- or rather the line between medical and mixed (22nd percentile) is the Schnurr Scale number that insurance uses. %%EOF official website and that any information you provide is encrypted This feature contains nudity. If the amount plots above the 22nd percentile and the member has a Functional Impairment, the procedure is reconstructive. Wolters Kluwer Health You may be trying to access this site from a secured browser on the server. (1991) concluded that women whose removed breast weight was less than the 5th percentile sought the procedure for cosmetic reasons and all women whose breast weight was greater than the 22nd percentile sought the procedure for medical reasons. Found it! Schnur Scale 5th percentile : r/Reduction - Reddit 936 0 obj <>stream Policy Number : MP.004.24 Effective Date: April 1, 2023 Instructions for Use
22nd percentile on the schnur chart