What is the Medicare item number for breast lift?

Item number 45558 – Breast lift (ptosis) after pregnancy
For Medicare item number 45558 to apply, you must be able to show that: You are experiencing breast ptosis, with at least two-thirds of your breast tissue (and your nipple) drooping below the breast fold; and.

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Can you claim a boob lift on Medicare?

Medicare will provide coverage for a breast lift if you can provide evidence of medical necessity. In order to get Medicare funding for breast lift, you need to contact your GP or surgeon to access the degree of breast sagging aka breast ptosis as well as nipple location.

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What is the item 45556?

For the purposes of item 45556, Medicare benefit is only payable for the correction of breast ptosis when performed unilaterally, in the context of breast cancer or developmental breast abnormality to match the position of the contralateral breast. This item is payable only once per patient.

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What is the official name for breast lift?

A breast lift, or breast mastopexy, is a surgical procedure that raises and reshapes the breasts. The procedure will make breasts firmer and shapelier if they have sagged. Breasts lifts will not change the size of the breast.

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Are breast lifts covered?

Generally, breast lift surgery is considered cosmetic, meaning it is unlikely to be covered by medical insurance. To get breast lift surgery approved as a covered procedure by insurance, you would have to prove the procedure is a medical necessity.

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Will Medicare Fund My Breast Lift?

25 related questions found

Is a breast lift considered breast augmentation?

Breast augmentation and breast lifts are popular ways to boost your appearance, but they offer different benefits. Breast augmentation increases the cup size of your breasts, while a lift raises drooping tissue. The two procedures may also be done together to get the breast shape, position, and size you desire.

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Is a mastopexy a breast lift?

A breast lift, also called mastopexy, is surgery to change the shape and appearance of your breasts. During mastopexy, a plastic surgeon can: Lift your breast higher on your chest. Make your breasts more symmetrical or identical to each other.

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What is the medical term for saggy breasts?

Breast ptosis is the medical term for breasts that develop a sagging appearance. This is a common situation that many women face and is most often the result of the natural aging process.

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What is Medicare code 45518?

For the purposes of items 45510 to 45518, revision of scar refers to modification of existing scars (traumatic, surgical or pathological) that is designed to decrease scar width, adapt scar position with regard to skin creases and landmarks, release scars from adhering to underlying structures, improve scar contour in ...

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How much is Medicare rebate for breast lift?

The rebate itself is around $1000 but importantly, you must be entitled to the Medicare number to ensure that your private health insurance to kick in. Medicare states that a rebate is only available in cases where strict conditions are met including that 2/3 of the volume of breast tissue sits below the breast fold.

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How much does a breast lift cost in Australia?

Breast lift

This procedure, the range in Newcastle is between $8,400 and $16,500. At Hunter Plastic Surgery, the total cost is: For those instances where patients are eligible for the Medicare item number, the total cost can begin from $12,600. For those without insurance coverage, the total cost is from $16,800.

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What does breast uplift include?

Your surgeon will remove skin from around the area around your nipples (areola) and/or from under your breasts. They'll then re-shape your breasts. Your surgeon may then re-position your nipples and reduce the size of your areola to suit the new shape.

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How many cup sizes do you lose with a breast lift?

Typically, a breast lift (medically referred to as mastopexy) reduces bra size by one cup. However, this is usually not the result of volume loss. When excess skin and sagging breast tissue are removed or repositioned, cup sizes are naturally reduced.

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How long do breast lifts last?

The average woman can expect her breast lift results to last for 10 to 15 years. However, due to the number of factors that affect the longevity of the results, individual results can vary significantly.

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Do you have to wear a bra with a breast lift?

You Need to Wear a Surgical Bra Following Breast Lift

It will be necessary to wear a compression bra for six weeks after your breast lift procedure.

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Can sagging breast be firm again?

Can Sagging Breasts Be Firm Again? Sagging breast tissue cannot regain its youthful firmness without plastic surgery. Unfortunately, measures such as exercising your chest muscles, eating healthy, and applying topical creams are not enough to correct pronounced sagging and drooping.

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What is vampire breast lift?

A vampire breast lift (VBL) augments your breasts without surgery. Providers inject platelet-rich plasma (PRP) to improve skin texture and make your breasts appear fuller. Side effects are minimal, but may include bruising, swelling and tenderness, and there's no downtime.

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What are the disadvantages of a breast lift?

Breast lift treatment risks
  • Temporary numbness.
  • Bruising.
  • Swelling.
  • Discomfort.
  • Scarring.

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How painful is a breast lift?

A mastopexy is a very well-tolerated procedure and most patients take only ibuprofen after the first few days. If you combine it with a breast augmentation, then yes, patients feel more soreness. It feels as if you worked out your pectoralis muscles really hard by doing a hundred push-ups or arm presses.

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What is the recovery time for a breast lift without implants?

You can expect to be up and about after a day or two and can return to work and light activities between one to two weeks and return to exercise after four to six weeks. Heavy lifting or strenuous exercise are prohibited in the first six weeks after your operation.

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Does Medicare cover breast lift after pregnancy?

Yes – depending on which particular procedures you wish to undergo and your need for surgery. This is where is gets tricky. Breast reductions and breast lifts are both procedures that may be eligible for a Medicare rebate. In majority of cases, breast augmentation does not attract a Medicare rebate.

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What do scars look like after breast lift?

Immediately after a Breast Lift procedure, the scarring from the incision lines will be very obvious and prominent as they need time to heal. Over time the scars will go from being an obvious purple or red color to being thin white lines that are significantly less prominent.

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