PQRS Cosmetic surgery

Medicare Coverage for Cosmetic Surgery


PQRS Cosmetic surgery or expenses incurred in connection with such surgery is not covered. PQRS Cosmetic surgery includes any surgical procedure directed at improving appearance, except when required for the prompt (i.e., as soon as medically feasible) repair of accidental injury or for the improvement of the functioning of a malformed body member. For example, this exclusion does not apply to surgery in connection with treatment of severe burns or repair of the face following a serious automobile accident, or to surgery for therapeutic purposes which coincidentally also serves some cosmetic purpose.

For more information please visit “Billing and Coding Guidelines for Cosmetic Services“.


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