Can gynecomastia be medically necessary?

According to the provisions of California law (SB 255, 2012), the workup and full treatment of gynecomastia associated with known or suspected breast cancer is considered medically necessary.

How is gynecomastia diagnosis?

How is gynecomastia diagnosed?

1. Blood tests, including liver function tests and hormone studies.
2. Urine tests.
3. A low-dose X-ray of your breast (mammogram)
4. A small breast tissue sample (a biopsy) may be removed and checked for cancer cells.

When should you consider gynecomastia surgery?

The ideal candidates for gynecomastia surgery are men who are experiencing extreme discomforts such as chafing or rubbing of the skin, suffer from a lack of confidence, and men who have tried less invasive methods and failed.

Is gynecomastia ever covered by insurance?

Is gynecomastia surgery covered by health insurance? In most cases, correction of gynecomastia is not eligible for insurance coverage.

What does your BMI have to be to get a breast reduction?

Body mass index (BMI). Some insurance companies will deny breast reduction surgery unless the BMI is <30, others <35, while others need to see documentation that the patient has attempted to lose weight in the past through diet, exercise or weight loss surgery. This is because breast size may decrease with weight loss.

Is gynecomastia serious?

Generally, gynecomastia isn’t a serious problem, but it can be tough to cope with the condition. Men and boys with gynecomastia sometimes have pain in their breasts and may feel embarrassed. Gynecomastia may go away on its own. If it persists, medication or surgery may help.

How do I know if I have gynecomastia or chest fat?

Chest fat is typically soft to the touch, while gynecomastia is much firmer. Some patients describe gynecomastia as feeling hard or rubbery. In fact, you may even feel a solid lump underneath your skin, which does not typically occur with chest fat.

What are the stages of gynecomastia?

Grade I: Small enlargement without skin excess. Grade IIa: Moderate enlargement without skin excess. Grade IIb: Moderate enlargement with minor skin excess. Grade III: Marked enlargement with excess skin, mimicking female breast ptosis.

Is gynecomastia surgery major or minor?

Gynecomastia Surgery can be either major or minor surgery depending on the patient’s medical condition.

How long is gyno surgery recovery?

The type of surgical technique used and the amount of excess tissue needing to be removed will also have an impact on recovery time. With that said, the typical recovery time for gynecomastia surgery is 4-6 weeks.

Is gynecomastia surgery considered cosmetic?

Gynecomastia surgery to improve the appearance of the male breast or to alter the contours of the 1. chest wall is considered cosmetic. Surgery to remove excess adipose (fat) tissue (pseudogynecomastia) is considered cosmetic.

Will health insurance cover a breast reduction?

Breast reduction is commonly considered a reconstructive surgical procedure (although there is a cosmetic component to it), so the surgery may be covered by health insurance if it is performed to relieve medical symptoms.