Schnur Sliding Scale
DETERMINING MEDICALLY NECESSARY SURGERY
At Rosenberg Plastic Surgery, we regularly consult with patients regarding their eligibility for breast reduction surgery. Many patients have already determined that breast reduction is right for them but are unaware if it would be considered a medically necessary operation. What these patients learn is that their insurance provider may not approve coverage of the surgery unless their current state is considered a medical concern.
We believe that it is vital to make appropriate judgements regarding these medical requirements early in the discussion. With the help of our insurance authorization team, we ensure that surgery has been approved long before your operation begins.
WHAT WILL INSURANCE COMPANIES COVER?
We understand what insurance companies will deem a medically necessary procedure. When you come to Rosenberg Plastic Surgery, we will perform the proper analyses to make an accurate determination for your health.
HOW THE SCHNUR SLIDING SCALE IS USED
We utilize the Schnur Sliding Scale in evaluating a patient’s potential medical requirements for breast reduction surgery. The scale helps determine the minimum required amount of tissue that needs to be removed from each breast in order for it to be considered a medical need.
When a patient comes to Rosenberg Plastic Surgery, Dr. David Rosenberg draws from his years of experience and professional judgement in reviewing the amount of tissue that will need to be removed in order to be approved based on the criteria in the Schnur Sliding Scale.
ABOUT THE SCHNUR SLIDING SCALE
The Schnur Sliding Scale is a chart used in evaluating a patient’s medical requirements when considering breast reduction surgery. It compares the patient’s body surface area by the weight of breast tissue to be removed in surgery.
If a patient’s body surface area and removed breast tissue weight are below the 22nd percentile, the surgery is considered to be a cosmetic procedure and is unlikely to be approved by a health insurance company
Alternately, if body surface area and removed breast tissue weight are above the 22nd percentile, the procedure has met the required criteria to be considered medically necessary.
Are you unsure of your Body Surface Area (BSA)? You can find it on this calculator.
|BODY SURFACE AREA (M2)||AVERAGE GRAMS PER BREAST OF TISSUE REMOVED|