The Leading Practice Management and RCM Billing Software for Plastic Surgery

Plastic and reconstructive surgery practices must navigate a fundamental billing divide between cosmetic procedures paid entirely by the patient and reconstructive procedures that require extensive medical necessity documentation for insurance reimbursement. Multiple-procedure payment reductions, split self-pay/insurance billing for combined cases, and prior authorization for reconstructive work demand a level of coordination that generic surgical billing software lacks.

It is common for a patient to undergo a combined surgical session that includes both a medically necessary reconstructive component, such as breast reconstruction following mastectomy, and an elective cosmetic component, such as contralateral symmetry revision, within the same operative session. Each component must be separately documented, coded, and billed to the appropriate party, while multiple-procedure modifier reductions must be applied correctly across the insurance-billed codes without inadvertently reducing the cosmetic self-pay charges.