Billing for cosmetic and reconstructive surgery, done right.
Plastic surgery practices run two businesses at once: self-pay cosmetic procedures and insurance-billed reconstructive care. Each needs a completely different process.
MediFier manages patient-pay workflows for cosmetic services and builds strong, well-documented claims for reconstructive procedures.
- Cosmetic Surgery
- Reconstructive Surgery
- Breast Reconstruction
- Aesthetic Medicine
- Hand Surgery
- Med Spas
Cosmetic & Plastic Surgery
Cosmetic or reconstructive? Documentation decides.
Insurers pay for reconstructive procedures only when medical necessity is clearly documented, often with photographs, measurements and records of failed conservative treatment, and usually after prior authorization.
Cosmetic procedures are self-pay, so clear quotes, deposits and payment plans matter just as much. We handle both sides.
- Medical-necessity documentation
- Prior authorization for reconstruction
- Combined cosmetic and covered procedures
- Patient deposits and payment plans
How MediFier supports plastic surgery practices
Prior authorizations
Authorization requests with photos, measurements and history to support medical necessity.
Split billing
Cosmetic and covered components separated correctly when performed together.
Reconstruction claims
Breast reconstruction and other reconstructive procedures billed under the plan's rules.
Patient-pay workflows
Quotes, deposits, payment plans and balances managed for cosmetic patients.
Denial appeals
Medical-necessity denials appealed with complete clinical support.
Documentation support
Operative reports and consult notes transcribed and organized for claims.
Codes, rules and payers we work with every day
Our billers and coders are trained in cosmetic & plastic surgery documentation and payer requirements, so claims go out right the first time.
See How We WorkCosmetic & Plastic Surgery questions, answered
Can you get insurance to cover reconstructive procedures?
We can't guarantee coverage, but we build strong authorization requests and claims with the photos, measurements and history payers require to show medical necessity.
How do you bill when cosmetic and covered procedures happen together?
We separate the covered and non-covered components, bill insurance for the covered part, and make sure the patient's cosmetic portion is quoted and collected clearly.
Do you handle breast reconstruction billing?
Yes. Federal law requires most group health plans that cover mastectomy to also cover reconstruction, and we bill these procedures according to each plan's rules.
Can you manage payments for self-pay patients?
Yes. We help manage quotes, deposits, payment plans and balance follow-up for cosmetic patients.
The services cosmetic & plastic surgery practices rely on most
Medical Billing
Clean claims, relentless follow-up and transparent reporting that turn your charges into cash faster.
Learn MoreMedical Transcription
Specialty-accurate, EHR-ready documentation from your dictations with dependable turnaround.
Learn MoreEnrollment & Credentialing
Get in-network faster with end-to-end payer enrollment, CAQH management and re-credentialing.
Learn More