Repair of keloids is considered medically necessary if they cause pain or a functional limitation the need for repeated cautery of bleeding telangiectasias or frequent courses of antibiotics for pustular eruptions)Įxcision or shaving of rhinophyma is considered cosmetic when the afore-mentioned criteria are not met Excision or shaving of rhinophyma for the treatment of bleeding or infection refractory to medical therapy.Repair (e.g., tear) of a traumatic injury is considered medically necessary Įarlobe repair to close a stretched pierce hole, in the absence of a traumatic injury, is considered cosmetic Retreatments with FDA-approved fillers are considered medically necessary for facial lipodystrophy syndrome due to antiretroviral therapy in HIV-infected persons (e.g., poly-L-lactic acid dermal injection (Sculptra) or calcium hydroxylapatite dermal injection (Radiesse) for HIV lipoatrophy)Ĭonsidered medically necessary for treating facial lipodystrophy syndrome due to antiretroviral therapy in HIV-infected persons considered cosmetic for all other indications
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