Specialty Billing Services

Plastic Surgery Medical Billing

Capital Billing Services provides comprehensive billing solutions for plastic surgery practices, handling both reconstructive insurance billing and cosmetic practice management.

Plastic surgery billing requires careful navigation between cosmetic and reconstructive procedures. While cosmetic procedures are typically paid out-of-pocket, reconstructive surgeries are often covered by insurance when medical necessity is established.

Our team understands the nuances of plastic surgery billing, from breast reconstruction following mastectomy to repair of facial trauma. We ensure proper documentation, accurate coding, and appropriate prior authorization to maximize reimbursement for covered procedures.

For practices offering both cosmetic and reconstructive services, we help manage the complexity of dual revenue streams while maintaining compliance with insurance requirements.

Plastic Surgery Billing Challenges We Solve

Cosmetic vs Reconstructive

Accurately distinguishing between cosmetic (non-covered) and reconstructive (covered) procedures for proper billing.

Medical Necessity Documentation

Ensuring documentation supports medical necessity for reconstructive procedures like breast reconstruction and skin grafting.

Prior Authorization

Managing prior authorization requirements for reconstructive surgeries and obtaining necessary approvals.

Multiple Procedure Billing

Proper coding when multiple procedures are performed during the same surgical session.

MIPS Compliance

Meeting MIPS quality reporting requirements for plastic surgery-specific measures.

How Capital Billing Can Help

Billing and Coding

Expert coding for reconstructive procedures, cosmetic surgeries, and the critical distinction between covered and non-covered services.

Medical Credentialing

We help plastic surgeons get credentialed with insurance networks and surgery centers.

Cosmetic Practice Management

Specialized support for practices offering both insurance-based reconstructive and cash-pay cosmetic services.

Capital Billing Services provides specialized plastic surgery billing solutions that address the unique challenges of this specialty. Our team has the expertise to navigate insurance billing for reconstructive procedures while supporting the operational needs of cosmetic practice management.