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What is a panniculectomy?

Updated: 12/9/2022
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GaleEncyofSurgery

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13y ago

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If a large area of excess tissue is removed, the procedure is called a panniculectomy

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13y ago
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Q: What is a panniculectomy?
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What does the word 'Panniculectomy' mean?

Panniculectomy refers to the surgical removal of subcutaneous fat in the area of the lower abdomen. Additional details about the procedure can be found on Wikipedia.


What is icd-9 code for panniculectomy?

86.83 If you are looking for the ICD-9 procedure code. "Size reduction plastic operation" is the language of the code. It is used for a panniculectomy when billed by the facility.


Will Medicare pay for a tummy tuck for a woman age 79?

Medicare will pay for a tummy tuck (panniculectomy) if there is a medical reason to do so - they will not pay for cosmetic purposes. If you have excessive skin causing skin irritation, yeast infections, or other conditions that aren't improving with conservative treatment, Medicare will likely cover a panniculectomy.


Does medical insurance cover a panniculectomy?

AnswerYes, for a medical reason. This isn't common but the pannus would have to be unusually large to the point that it chafes and repeatedly gets infected.


Can you spell pannous like this describing the stomach?

The word sought is likely panniculus, a flap of fatty tissue, such as what is often removed from the abdomen in an panniculectomy (type of abdominoplasty, or "tummy tuck" surgery).(The similar word pannus refers to a growth such as granuloma of the eye, or vascularization of the cornea.)


What do you call the surgery to remove excess skin due to weight loss?

It depends on the body part you are getting reduced. There is a panniculectomy (to get rid of the "apron" of abdominal skin), a brachioplasty (to remove the excess in the upper arms), a belt lipectomy (lifts thighs, hips, butt and abdomen)....


Is a binder required after a panniculectomy?

It's not exactly required but wearing an abdominal binder does reduce swelling and helps keep things in place as the skin reattaches to the abdominal muscle. I found it to be comforting in the first few weeks. After your staples or stitches are removed you can usually switch to a support product like Spanx.


How long is a binder required after a panniculectomy?

Each person should follow the directions from their surgeon. General instructions require the binder to be worn 24 hours a day for up to 4 weeks. After that point, the doctor may ask the patient to wear it for another 2 weeks when performing certain activities.


Does health insurance cover liposuction?

Clinical Policy Bulletin:Abdominoplasty, Suction Lipectomy, and Ventral Hernia RepairNumber: 0211PolicyAetna considers panniculectomy/apronectomy medically necessary according to the following criteria:Panniculus hangs below the level of the pubis; andThe medical records document that the panniculus causes chronic intertrigo (dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing) that consistently recurs over 3 months while receiving appropriate medical therapy (e.g., oral or topical prescription medication), or remains refractory to appropriate medical therapy over a period of 3 months.Aetna considers panniculectomy/apronectomy cosmetic when these criteria are not met.Aetna considers panniculectomy/apronectomy experimental and investigational for minimizing the risk of hernia formation or recurrence. There is inadequate evidence that pannus contributes to hernia formation. The primary cause of hernia formation is an abdominal wall defect or weakness, not a pulling effect from a large or redundant pannus.Aetna considers repair of a true incisional or ventral hernia medically necessary.Aetna considers repair of a diastasis recti, defined as a thinning out of the anterior abdominal wall fascia, not medically necessary because, according to the clinical literature, it does not represent a "true" hernia and is of no clinical significance.Aetna considers abdominoplasty, suction lipectomy, or lipoabdominoplasty cosmetic.BackgroundIn order to distinguish a ventral hernia repair from a purely cosmetic abdominoplasty, Aetna requires documentation of the size of the hernia, whether the ventral hernia is reducible, whether the hernia is accompanied by pain or other symptoms, the extent of diastasis (separation) of rectus abdominus muscles, whether there is a defect (as opposed to mere thinning) of the abdominal fascia, and office notes indicating the presence and size of the fascial defect.Abdominoplasty, known more commonly as a "tummy tuck," is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can improve cosmesis by reducing the protrusion of the abdomen. However, abdominoplasty is considered by Aetna to be cosmetic because it is not associated with functional improvements


Is there a surgery to remove saggy skin on inner thigh?

Abdominoplasty – this is where the abdominal wall muscle is pulled together both horizontally and vertically to add strength, and the excess skin is removed and the area contoured using liposuction and different techniques to get the most pleasing scar. A panniculectomy is just where they remove the excess skin, but there is no muscle tightening or liposuction done for contouring The cost is about $6 – 7,000 for private pay Insurance will pay if you have documentation for 4-6 months of sores and rashes that do not respond to treatment, back pain, and difficulty exercising They recommend coming in for a consult after your weight has been stable for 6 months, and about 3 months before you are ready, as the planning process is important. They do have some programs to help defray costs. There is no age limit, but more importantly they want patients to be healthy. For a thigh lift, it is a longer surgery, and there is a scar that runs down the inner leg to at least the knee and sometimes lower, depending on where the excess skin drapes. This surgery is not usually covered by insurance Cost for this surgery runs between $7 – 8,000