reason or as a medically necessary procedure. A 500 gm reduction from each breast amounts to a 2.2 pound total weight reduction. This feature contains nudity. 39 21 22nd percentile on the schnur chart. The Schnur Sliding Scale chart is an evaluation method used with individuals who are considering breast reduction. Does Insurance Cover Breast Reduction Surgery - SurgeryTalk.net %PDF-1.4 % Please click OK to confirm you are at least 18 years of age and are not offended by this material. If they are below the 22nd percentile, breast reduction is not deemed medically necessary. How do you unlock an iPhone you forgot the password to without a computer? If the amount plots above the 22nd percentile, and other cocriteria are met, breast reduction would be allowed; 2. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. utilizing this scale, Schnur et al. Schnur Sliding Scale suggests that resection weights above the 22nd percentile should be regarded as reconstructive, while resection weights falling below the fifth percentile should be deemed cosmetic.8 However, from a scientific standpoint, the basis for developing this scale is flawed. A breast reduction surgery is deemed medically necessary if the patients body surface area and weight of breast tissue removed are above the 22nd percentile. tissue that is planned to be removed in each breast above the 22nd percentile on the Schnur Sliding Scale (see Appendix) based on the individual's body surface . There is ample evidence that the practice of applying the Schnur Sliding Scale may be prohibitive to symptomatic patients seeking reduction mammaplasty and should be abandoned. My insurance company states according to the Schnur Sliding scale, I would need 527 grams removed from each breast as one criteria. PDF Breast Reduction Surgery - UHCprovider.com Your email address will not be published. . Boukovalas S, Padilla PL, Spratt H, Tran JP, Li RT, Boson AL, Howland N, Phillips LG. She also had significant back, neck and shoulder pain due to extremely large breasts. Ann Plast Surg. Can anyone help explain the Schnur scale? : r/Reduction - Reddit How many pounds is 500 grams of breast tissue? Redefining the Role of Resection Weight Prediction in Reduction Mammaplasty and Breaking the "One-Scale-Fits-All" Paradigm. 22 Cents on the Dollar - Max Out of Pocket If the individual's body surface area and weight of breast . In 1991, Dr Paul Schnur and his colleagues published an article correlating the weight of breast tissue to be removed in a breast reduction operation with the total body surface area (BSA) of the patient. Lower 5% Lower 22% 1.35 127 199 1.40 139 218 1.45 152 238 1.50 166 260 1.55 181 284 1.60 198 310 . BU0 j5 (Refer to the SSS below.) How do you calculate BSA from height and weight? . Does UnitedHealthcare Cover Breast Reduction? | HelpAdvisor.com The .gov means its official. The Schnur . This Schnur chart may be used to assess whether the amount of tissue that will be removed is reasonable for the body habitus, and whether the procedure is cosmetic or reconstructive in nature. Medicare Part C Medical Coverage Policy Breast Reduction - Blue Cross NC CG-SURG-71 Reduction Mammaplasty - Anthem Quick Calculation of Breast Resection Mass Using the Schnur Scale Reduction mammaplasty: cosmetic or reconstructive procedure? We demonstrate and compare performance of this calculation by hand and by nomogram. Epub 2022 Jul 22. If body surface area and breast tissue weight removed are above the 22 nd percentile, then the surgery will be deemed . Reprints: Lucas A. Dvoracek, MD, 3550 Terrace St, 6B Scaife Hall, Pittsburgh, PA 15261. . Clipboard, Search History, and several other advanced features are temporarily unavailable. 300 grams per breast for women with height less than 5'2" or weight less than 120 lbs. Schnur pointed out that if a payer used weight of resected tissue as a coverage criterion, then if the weight fell below the 5th percentile, the reduction mammaplasty would be considered cosmetic; if above the 22nd percentile, it would be considered medically necessary; and if between these cutpoints, it would be considered on a case-by-case basis. This patient is a 23 year old female who flew in from out of state to my practice with interest in breast reduction surgery. ethan astaphan pictures. %PDF-1.6 % I looked at the Schnur scale table and base on my weight and body surface area (1.41-1.45) the threshold value per breast for me would be 238 per breast. How do you cleanse your crystals and charge them? This sliding scale was based on survey responses of 92 of 200 solicited plastic surgeons, who reported the height, weight, and amount of breast tissue removed from each breast from the last 15 to 20 reduction mammaplasties that had been performed. 0000005391 00000 n Reduction Mammaplasty The https:// ensures that you are connecting to the sharing sensitive information, make sure youre on a federal hbbd```b``>"HJ &"`RL2/` L^7d$M@`[Aq6@!+#iPL?c O Twenty-four of the 85 patients (28%) were below the 22nd percentile on the Schnur scale normogram, indicating that their procedure would be classified as "cosmetic". rmLK#43P8 %tL G-< PDF Medical Policy - Breast Reduction for Breast-related Symptoms - Bcbsm Received April 9, 2018, and accepted for publication, after revision August 6, 2018. hb```-y eaX&pSa )FIw-~'/AHD zn@Z%201fgiS1JLYLnL}ySU cx$cP10-^ VAI@&NY' gY1%p?5%0YuGG|tuG(h!$,Q4@56A_&t-j. Documentation of patient's body surface area (BSA), based on the Schnur Sliding Scale (SSS), in which the patient's breast weight (per breast) is estimated at greater than the 22nd percentile line Refer to SSS and calculation of BSA at the end of the Rationale Section) consisting of breast tissue, not fatty tissue to be removed. Note: The scale above is taken from the Schnur Sliding Scale and shows the BSA and associated grams of breast tissue to be removed to meet the 22nd percentile where women are likely to have a reduction mammoplasty primarily for medical reasons. What is the 22nd percentile on the Schnur chart? Schnur pointed out that if a payer used weight of resected tissue as a coverage criterion, then if the weight fell below the 5th percentile, the reduction mammaplasty would be considered cosmetic; if above the 22nd percentile, it would be considered medically necessary; and if between these cutpoints, it would be considered on a case-by-case basis. Unable to load your collection due to an error, Unable to load your delegates due to an error. 11.16 PLASTIC SURGERY REFERRAL GUIDELINES Contracted Group: Nevada Plastics In determining the medical necessity of . All rights reserved. Our team understands which procedures are considered medically necessary by insurance companies and what criteria they use to determine this. O@ If only one breast meets the Schnur scale criteria; breast tissue may be removed from the other breast in order to achieve symmetry. Federal government websites often end in .gov or .mil. All the published Schnur Scales only include the 22nd percentile. We have combined the scale and the BSA nomogram for a simplified nomogram calculator that facilitates rapid determination of anticipated tissue weight of resection for a patient of a given size. Your weight should be stable. Ann Plast Surg. Required fields are marked *. Blue Advantage Administrators of Arkansas Coverage Policy for Walmart Ann Plast Surg. You may search for similar articles that contain these same keywords or you may official website and that any information you provide is encrypted To convert pounds to kilograms, multiply pounds by 0.4536. 2019 Apr;82(4S Suppl 3):S259-S263. MEDICAL POLICY STATEMENT - CareSource Below the 5th percentile was deemed cosmetic and between the 5th and 22nd were considered a mix of both. endstream endobj 40 0 obj <> endobj 41 0 obj <> endobj 42 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>> endobj 43 0 obj <> endobj 44 0 obj <>stream Schnur Sliding Scale | Dr. Robert Cohen By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Everything we do is designed to help our patients achieve their desired results. My insurance company states according to the Schnur Sliding scale, I would need 527 grams removed from each breast as one criteria. How do you search old text messages on iPhone? If they are below the 22nd percentile, breast reduction is not deemed medically necessary. Yan M, Bustos SS, Kuruoglu D, Manrique OJ, Tran NV, Sharaf BA, Harless CA, Martinez-Jorge J, Forte AJ, Nguyen MT. and our PDF 703 Reduction Mammaplasty Accessibility Data is temporarily unavailable.
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