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NC Division of Medical Assistance
Keloid Excision and Scar Revision Medicaid and Health Choice
Clinical Coverage Policy No: 1O3
Amended Date: October 1, 2015Table of Contents
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What is keloid excision and scar?
Keloid excision is the surgical removal of keloid scars, which are thick, raised scars that can form after an injury to the skin.
Who is required to file keloid excision and scar?
A dermatologist or plastic surgeon performing the keloid excision procedure is required to file the report on keloid excision and scar.
How to fill out keloid excision and scar?
The report on keloid excision and scar must be filled out with details of the procedure, including the date of the surgery, location of the scar, and any complications.
What is the purpose of keloid excision and scar?
The purpose of keloid excision and scar reporting is to track the number of procedures performed and monitor outcomes for quality improvement purposes.
What information must be reported on keloid excision and scar?
The report must include details such as patient demographics, medical history, preoperative evaluation, surgical technique used, postoperative care, and follow-up.
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