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Continued January 2017 MEDICARE ADVANTAGE PRIOR AUTHORIZATION REQUEST FORM CON T Procedure Hemangioma Treatment Port Wine Stain Treatment Photographs documenting the size location and characteristics of the hemangioma or Criteria Must have one Visible above clothing on the face neck or ears Impairs vital structures and treatment in medically necessary to prevent complications Describe impairment History of recurrent bleeding ulceration or infection or Hemangioma only Is pedunculated attached...
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How to fill out reconstructive-restorative skin procedures

01
Start by cleaning the skin thoroughly with a gentle cleanser and warm water.
02
Next, apply a toner to prepare the skin for the procedure.
03
If necessary, numbing cream can be applied to reduce discomfort.
04
Now, using a small brush or applicator, carefully apply the reconstructive-restorative product to the targeted areas of the skin.
05
Gently massage the product into the skin using upward circular motions.
06
Allow the product to fully absorb into the skin for the recommended time.
07
Once absorbed, you may need to apply a second layer for optimal results.
08
After the desired number of layers have been applied, let the product dry completely.
09
Finish the procedure by applying a moisturizer or sunscreen to protect the skin.
10
Repeat the procedure as recommended by your dermatologist for best results.

Who needs reconstructive-restorative skin procedures?

01
Individuals with acne scars or pitted skin texture can benefit from reconstructive-restorative skin procedures.
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People with fine lines, wrinkles, or uneven skin tone can also benefit from these procedures.
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Those who have undergone skin surgeries or have scars from injuries may find these procedures helpful.
04
Individuals with sun-damaged skin or hyperpigmentation issues can also consider reconstructive-restorative procedures.
05
Anyone looking to improve the overall texture and appearance of their skin can opt for these procedures.
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It is best to consult with a dermatologist to determine if you are a suitable candidate for reconstructive-restorative skin procedures.
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Reconstructive-restorative skin procedures are medical treatments that aim to repair or enhance the appearance of the skin after trauma or illness.
Medical professionals such as dermatologists, plastic surgeons, and other healthcare providers are required to file reconstructive-restorative skin procedures.
Reconstructive-restorative skin procedures can be filled out using specific medical codes and detailed descriptions of the treatment provided.
The purpose of reconstructive-restorative skin procedures is to improve the health, function, and appearance of the skin for patients.
Information such as patient demographics, treatment provided, diagnosis, medical codes, and any complications or follow-up care must be reported on reconstructive-restorative skin procedures.
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