Plastic Surgery Medical Billing


Plastic Surgery Medical Billing Services

Transforming lives doesn’t just happen in the operating room. Plastic surgeons dedicated to meticulous procedures often find themselves facing another intricate surgery: navigating the complexities of medical billing. ProMantra steps in as your trusted partner, offering comprehensive Plastic Surgery Medical Billing Services to streamline your revenue cycle and free your time to focus on what matters most: your patients.


What is Plastic Surgery Medical Billing Services?

Plastic Surgery Medical Billing Services refer to specialized billing and revenue cycle management solutions tailored specifically for plastic surgery practices and healthcare providers. These services are designed to handle the complex billing processes associated with plastic surgery treatments and procedures, including but not limited to, claim submission, payment posting, denial management, insurance eligibility verification, prior authorization, plastic surgery-specific coding, and compliance with coding guidelines.

Services covered under Plastic Surgery Medical Billing Services:

Plastic Surgery Medical Billing Services don’t directly “cover” specific diseases themselves. Instead, they focus on billing for the services rendered to patients diagnosed with various conditions affecting the cosmetic and reconstructive procedures on the face and body.

Here are some examples of conditions and procedures that may be covered by Plastic Surgery Medical Billing Services:


  • Burn reconstruction: Repairing damage from burns
  • Trauma reconstruction: Repairing damage from accidents or injuries
  • Cleft lip and palate repair: Correcting congenital defects
  • Breast reconstruction: Following mastectomy or lumpectomy
  • Scar revision: Improving the appearance of scars


  • Rhinoplasty: Nose reshaping
  • Blepharoplasty: Eyelid surgery
  • Otoplasty: Ear reshaping
  • Liposuction: Fat removal
  • Tummy tuck: Abdominal contouring
  • Breast augmentation: Breast enlargement
  • Botox and fillers: Injectable treatments

It’s important to remember that this is not an exhaustive list, and specific procedures and diagnoses covered will vary depending on the surgeon’s specialty, insurance plans, and individual patient needs.

If you have any specific questions about what your Plastic Surgery Medical Billing Services may cover, it’s always best to consult us.


Medical Coding for Plastic Surgery Medical Billing Services


Medical coding plays a crucial role in Plastic Surgery Medical Billing Services, ensuring accurate reimbursement and compliance with regulations. Here’s a breakdown of the key types of codes used:


Key Code Sets:

1. CPT (Current Procedural Terminology) codes: 

Identify specific procedures performed by the surgeon.

2. HCPCS Level II codes:

Supplement CPT codes by capturing specific supplies and equipment used.

3. ICD-10 (International Classification of Diseases, 10th Revision) Codes: 

Define patient diagnoses using alphanumeric codes.

Additional Considerations:



Used to provide additional information about procedures, such as Laterality (LT, RT) or Repeat procedure (Repeat).


Bundled codes:

Some insurance plans bundle multiple related procedures into single payments, requiring careful code selection.


Evolving guidelines:

Staying up-to-date with CMS and NCCI updates ensures compliance and avoids denials.


Why Choose ProMantra for Plastic Surgery Billing?


In-depth Expertise in Plastic Surgery:

We go beyond general surgery billing and coding services. Our certified coders and billing specialists possess specialized knowledge of the plastic surgery landscape, from intricate cosmetic procedures and diverse diagnoses to evolving insurance regulations. This ensures accurate and compliant claim submission, maximizing your reimbursements.


Seamless Solutions:

We leverage modern technology and automation to simplify your workflows. Our comprehensive Plastic Surgery Medical Billing Services encompass:

  • Outsource Plastic Surgery Billing Services: Relieve your staff of time-consuming administrative tasks by entrusting them to our dedicated team, allowing them to prioritize patient care.
  • Plastic Surgery Coding Services: Ensure accurate CPT, HCPCS, and ICD-10 coding for complex procedures and diagnoses, minimizing denials and maximizing reimbursements.
  • Plastic Surgery Practice Management: ProMantra goes beyond claim submission. We offer comprehensive practice management solutions tailored to plastic surgery practices, including:
    • Insurance eligibility verification services: Minimize claim denials with upfront verification for all patient insurance plans.
    • Prior Authorization services: Our team efficiently obtains approvals for covered procedures, ensuring prompt treatment for your patients.
    • Patient billing and collections: Manage patient billing effectively, minimizing bad debt and maximizing your practice’s revenue.
Trusted Medical Billing Agency:

As a leading medical billing company, ProMantra upholds the highest industry standards and ethical practices. We prioritize data security, HIPAA compliance, and transparent communication, giving you peace of mind.


Scalability and Flexibility:

Our billing company medical solutions adapt to your practice’s size and needs. We offer customized packages and seamless integration with your existing systems, ensuring a smooth transition and optimal fit.


Unburden Yourself with ProMantra’s Plastic Surgery Billing Services:


Outsource Plastic Surgery Billing Services:

Free up your staff’s time for direct patient care and prioritize practice efficiency by allowing our experts to handle your billing complexities.


Plastic Surgery Coding Services:

Ensure accurate CPT, HCPCS, and ICD-10 coding with our certified plastic surgery coding specialists, minimizing claim denials and maximizing reimbursements.


Medical Billing Service:

Leverage our automated processes and experienced team to streamline claim submission, payment posting, and follow-up.


Insurance Billing Companies:

We handle communication with various insurance billing companies and navigate complex regulations, ensuring smooth claim processing and timely reimbursements.


Prior Authorization Services:

Our team simplifies the prior authorization process by obtaining approvals efficiently, minimizing treatment delays and ensuring prompt care for your patients.


Beyond Billing: A Holistic Approach to Your Plastic Surgery Practice’s Success:


ProMantra offers more than just insurance billing services. We are your comprehensive partner in practice optimization:


Practice Management Consulting:

Our experienced consultants provide valuable insights and data-driven recommendations to improve operational efficiency and financial performance.


Marketing and Patient Engagement Solutions:

Attract new patients and strengthen patient relationships with our targeted marketing and engagement strategies.


Technology Solutions:

Leverage our cutting-edge technology platform to streamline workflows, improve communication, and gain valuable data insights.


Partner with ProMantra and Unlock the Full Potential of Your Plastic Surgery Practice:


By choosing ProMantra as your Plastic Surgery Medical Billing Services provider, you gain:


Increased Revenue and Reduced Costs:

We ensure accurate coding, timely claim submission, minimized denials, maximizing your reimbursements and reducing administrative costs.


Improved Efficiency and Productivity:

Our automated solutions and expert team free up your staff’s time and resources, allowing them to focus on patient care.


Enhanced Patient Experience:

Streamlined billing processes and efficient communication contribute to a positive patient experience, fostering loyalty and trust.


Peace of Mind and Compliance:

Our HIPAA-compliant practices and dedicated support team ensure you can focus on providing exceptional care with confidence.

Ready to simplify your Otolaryngology Billing and prioritize patient care? Contact ProMantra today for a free consultation and discover how our comprehensive solutions can propel your practice to new heights.

Let’s Talk

To learn more about our Plastic Surgery medical billing services or to request a quote, please contact us today. We will be happy to assist you.