Plastic & Reconstructive Surgery Billing and Coding Solutions

At USMed Billing Solutions, we specialize in comprehensive billing and coding solutions designed specifically for plastic and reconstructive surgery practices. Our services focus on supporting procedures that aim to restore functionality and enhance appearance impacted by congenital abnormalities, diseases, injuries, or the natural aging process.
While many plastic surgery procedures may have cosmetic aspects, their primary goal is often reconstruction—improving structure, restoring form, and enhancing quality of life. Structural abnormalities typically result from:

  • Injuries
  • Infections
  • Developmental irregularities
  • Congenital defects
  • Diseases and degenerative conditions
  • Tumors or post-surgical complications

Plastic surgery billing presents unique challenges, including complex coding for modifiers, co-surgeries, layered wound repairs, and multi-step reconstructions. Any minor coding inaccuracy can lead to denied claims or delayed reimbursements, particularly for high-value surgical procedures.
Our team of seasoned experts ensures precise, compliant, and optimized coding, minimizing financial risk and guaranteeing timely reimbursements—allowing your practice to stay focused on patient care rather than paperwork.

Our Expertise in Plastic & Reconstructive Surgery Medical Billing

USMed Billing Solutions proudly partners with healthcare providers across all 50 states, offering specialized billing and coding support to hospitals, clinics, private practices, and healthcare organizations. With over a decade of industry experience, our certified medical billing professionals have successfully improved the financial performance and operational efficiency of numerous plastic and reconstructive surgery practices.

Certified by the American Academy of Professional Coders (AAPC), our team is highly trained in CPT, ICD-10, and HCPCS Level II coding, as well as the latest CMS and AMA guidelines.

Our coding professionals bring unmatched expertise in:

  • Accurately coding a wide range of reconstructive and cosmetic procedures, including scar revisions, wound repairs, facial reconstructions, breast surgeries, and post-traumatic restorations.
  • Applying proper Medicare and payer-specific billing rules, covering areas such as incident-to billing, global surgery packages, teaching physician guidelines, and shared or assistant services.
  • Ensuring complete documentation review and compliance, interpreting physician notes with precision to assign the correct ICD-10-CM, CPT®, and modifier codes—eliminating ambiguities and reducing audit risks.

By partnering with USMed Billing Solutions, you gain a dedicated billing extension of your practice, focused on maximizing reimbursements, improving claim accuracy, and ensuring your operations run seamlessly from documentation to payment.

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