Plastic Surgery Billing Services

CodeCure delivers specialized plastic & reconstructive surgery billing services designed to minimize denials, accelerate reimbursements, and boost practice revenue. As a trusted plastic surgery billing company, we handle the complexity of plastic surgery coding and claims management so surgeons can focus on patient outcomes. Whether you operate a cosmetic surgery center, reconstructive practice, or hospital-based program, our tailored billing solutions ensure accuracy, compliance, and financial growth.

Plastic Surgery Billing:

Why It Matters

Medical billing for plastic and reconstructive surgery is complex. Practices must manage a mix of reconstructive procedures covered by insurance and elective cosmetic treatments often excluded from coverage. From using the correct plastic surgery CPT codes to distinguishing between cosmetic and medically necessary procedures, the billing process is prone to denials if not handled by specialists.

Errors such as incorrect cosmetic surgery CPT codes, improper use of modifiers, or mismanagement of prior authorizations can significantly reduce revenue. By partnering with CodeCure, an experienced plastic surgery billing company, you gain expertise in plastic surgery coding, clean claim submissions, and payer compliance. Our team ensures maximum reimbursement while allowing your practice to stay focused on patient care.

< 30

Days in AR

20–30%

Revenue Increase

97%

First Pass Ratio

96%

Collection Ratios

98%

Clean Claims Rate

We Provide Customized Plastic Surgery Billing Services for Every Type of Practice, Including:

Independent plastic surgery practices
Cosmetic surgery centers
Hospital-affiliated reconstructive surgery departments
Medical spas offering surgical procedures
Academic and teaching hospitals with plastic surgery programs
Ambulatory surgery centers for reconstructive procedures
Multi-location cosmetic and plastic surgery practices
Specialized facial plastic surgery clinics
Body contouring and aesthetic surgery centers
Other related cosmetic and reconstructive practices

We Understand Plastic Surgery Coding Best

As a full-service plastic & reconstructive surgery billing company, we specialize in CPT, ICD-10, and HCPCS codes unique to cosmetic and reconstructive procedures. Our certified coders ensure claims are accurate, compliant, and tailored to payer requirements.

Evaluation & Management Codes

Accurate coding for new consultations, pre-op, and post-op visits.

Plastic Surgery CPT Codes

Expertise in reconstructive procedures such as 19316 CPT (mastopexy), 30420 CPT (rhinoplasty), and CPT code for scar excision.

Cosmetic Surgery CPT Codes

Proper coding for elective procedures including facelift CPT code, body contouring, and 15877 CPT code description (suction-assisted lipectomy).

Modifier Accuracy

Correct use of modifiers for staged procedures, bilateral surgeries, and cosmetic vs. reconstructive distinctions.

Insurance vs. Self-Pay Claims

Seamless management of claims for reconstructive services while handling invoicing for cosmetic procedures not covered by insurance.

Plastic Surgery Billing Challenges

Cosmetic vs. Reconstructive Distinctions

Incorrect categorization can lead to denied claims.

Complex CPT Coding

Procedures like CPT 15877, 19316 CPT, or 30420 CPT require coding precision.

Prior Authorizations

Many reconstructive surgeries require strict pre-approval from payers.

Documentation Errors

Missing operative notes or cosmetic disclaimers can delay payments

Audit Risks

Plastic surgery claims face increased scrutiny due to high procedure costs and coding overlaps with other specialties.

We Stick to the Best Medical Billing Practices

Training & Education

We handle your RCM while keeping your staff trained on internal medicine billing requirements.

Communication with Payers

We maintain proactive contact with insurance companies to clarify reimbursement rules and prevent denials.

24/7 Support

Our billing and coding specialists are available round-the-clock to resolve issues and adapt to your practice needs.

Technology Integration

We use claim scrubbers to catch errors before submission and employ strong data encryption to protect patient information.

Real-Time Reporting

Our KPI-driven dashboards give you full visibility into claims, payments, and revenue trends.

Complete Billing, Coding & Practice Support

CODE

Plastic surgery billing requires precision in CPT coding for reconstructive and cosmetic services. CodeCure’s certified coders specialize in plastic surgery coding, ensuring every claim is accurate and compliant. Our coding support includes:

  • Proper use of plastic surgery CPT codes and cosmetic CPT codes.
  • Correct application of facelift CPT code, 19316 CPT, 30420 CPT, and CPT code for scar excision.
  • Accurate billing for 15877 CPT code description (suction-assisted lipectomy).
  • Expertise in staged, combined, or bilateral plastic surgery coding.

RCM

Plastic surgery practices need a billing partner that understands both insurance-covered and cosmetic self-pay revenue cycles. CodeCure optimizes your practice through specialized plastic & reconstructive surgery billing services. Our RCM services include:

  • Insurance verification & prior authorizations.
  • Charge capture & compliant claim submission.
  • Denial management & appeals for reconstructive services.
  • Reporting on cosmetic and reconstructive reimbursement trends.

Credentialing

Credentialing delays can impact reimbursements for reconstructive procedures. CodeCure provides full credentialing support so surgeons remain payer-ready. Our services include:

  • Enrollment with Medicare, Medicaid, and commercial insurers.
  • CAQH, PECOS, and NPI registration for plastic surgeons.
  • Credentialing support for hospital privileges and surgical centers.
  • Ongoing re-credentialing and compliance updates.

EHR & Technology

Plastic surgery requires billing systems integrated with detailed documentation. CodeCure integrates with your EHR for seamless workflows. We provide:

  • Custom templates for plastic & cosmetic surgery billing.
  • Automated coding assistance for plastic surgery CPT codes.
  • Claim scrubbers that flag errors before submission.
  • Real-time reimbursement and compliance reports.

Practice Management

Running a plastic surgery practice requires balancing high-quality patient care with financial stability. CodeCure supports both operations and billing. Our services include:

  • Scheduling and pre-authorization assistance.
  • Collections support for cosmetic self-pay patients.
  • Financial tracking for single and multi-location practices.
  • Training staff on cosmetic vs. reconstructive billing rules.

CodeCure is Your Plastic Surgery Billing Partner!

As a trusted provider of plastic & reconstructive surgery billing services, we manage your revenue cycle while you focus on patient outcomes.

Frequently Asked Questions (FAQs)

What makes CodeCure the best choice for plastic & reconstructive surgery billing services?

We specialize in plastic surgery coding, including cosmetic surgery CPT codes and reconstructive procedure billing.

How much does outsourcing plastic surgery billing services cost?

Our fees range from 2%–5% of monthly collections, with a first-month introductory rate of just 1%.

Do you handle both cosmetic and reconstructive billing?

Yes. We manage insurance-covered reconstructive procedures and provide billing solutions for cosmetic self-pay services.

Can you code complex plastic surgery procedures?

Absolutely. Our team is experienced with facelift CPT code, 19316 CPT, 30420 CPT, 15877 CPT code description, CPT code for scar excision, and other plastic surgery CPT codes.

Can you help reduce denials and improve collections?

Yes. As one of the top plastic surgery billing companies, CodeCure ensures compliance, accurate cosmetic surgery CPT codes, and proactive collection strategies to maximize revenue.

Let’s Elevate Your Billing Process Together

You take care of patients. We’ll take care of your revenue.