Plastic Surgery
Allergy Immunology Medical Billing Service
Accurate Billing for Cosmetic & Reconstructive Surgery
Plastic surgery practices handle a mix of cosmetic, reconstructive, and medical procedures. Billing for these services is highly complex, especially when distinguishing between elective cosmetic treatments (often not covered by insurance) and medically necessary surgeries (covered but heavily regulated). At Apple Med Billing, we specialize in navigating these challenges to secure the highest possible reimbursement for your practice.
Why Plastic Surgery Billing is Challenging
Plastic surgery billing requires precise documentation and coding to ensure services are billed correctly. Common challenges include:
Cosmetic vs. Reconstructive Procedures:
Insurance rarely covers cosmetic procedures, but reconstructive surgeries require detailed documentation to prove medical necessity.
Complex Surgical Coding:
Procedures like skin grafts, flap reconstructions, and breast surgeries involve multiple CPT codes.
Bundled Services:
Multiple services performed during a single surgery must be coded with proper modifiers.
Pre-Authorization Requirements:
Many payers require prior approval for reconstructive procedures.
Without expert billing, practices risk claim rejections, delays, and underpayments.
Common Plastic Surgery Services We Handle
Our billing experts cover a wide range of plastic surgery services, including:
Cosmetic procedures (facelift, liposuction, rhinoplasty, etc.)
Breast reconstruction and augmentation
Bundled Services:
Skin grafts & flap procedures
Burn care & trauma reconstruction
Hand surgery & corrective procedures
Scar revision and dermatologic repairs
Key Benefits of Choosing Apple Med Billing
Faster Reimbursements
Claims submitted quickly and accurately to avoid delays.
HIPAA & Compliance First
Stay aligned with MACRA, MIPS, and No Surprises Act regulations.
Patient-Friendly Support
Clear communication and easy payment options for patients.
Frequently Asked Questions
1. Why is billing challenging for this specialty?
Because of complex codes, procedures, and payer rules, claims often get denied without specialty-focused billing.
2. How can Apple Med Billing help my practice?
We provide accurate coding, denial management, and timely reimbursements, ensuring you get paid faster.
3. Is patient data secure with you?
Absolutely. We follow HIPAA compliance and use secure systems to protect sensitive information.
4. Do I need a referral?
Referral requirements depend on your local insurance or clinic policy; check with your provider.
Partner With Us
At Apple Med Billing, we take care of your billing while you focus on patient care. Our solutions are designed for practices of all sizes — ensuring accuracy, faster payments, and less paperwork.
