The Future Of DIEP Flap: Ensuring Continued Access To Innovative Breast Reconstruction
Recently, VBCF joined the Community Breast Reconstruction Alliance (CBRA), a group of patient advocacy organizations and healthcare providers working together to advocate for access to deep inferior epigastric perforator (DIEP) flap breast reconstruction surgery. Access to DIEP flap reconstruction is at risk because the federal Centers for Medicare and Medicaid Services (CMS) announced plans to eliminate three procedure insurance codes and instead group all autologous (or “flap”) breast reconstruction surgeries under the same insurance code. Some health plans are moving quickly to use the new code and only reimburse for less advanced surgery and/or reduce payment for DIEP flap procedures. If action is not taken, DIEP flap surgery may only be an option for those who can pay out of pocket for the surgery – at a cost of up to $50,000 or more.
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