Addressing Financial Challenges in Plastic Surgery
Plastic surgery billing is inherently complex. Practices face high out-of-pocket burdens for patients, which increased 54% from 2009 – 2017, often leading to payment delays or write-offs. Medicare reimbursement for reconstructive procedures has declined significantly, by up to 14% to 27% from 2000 to 2019 after inflation adjustment, further pressuring margins.
Additionally, elective and cosmetic procedures often fall outside network coverage, leading to surprise billing issues and complicating revenue predictability. Managing implant usage, coding for cosmetic vs. medically necessary services, and navigating regulatory changes compound financial strain on plastic surgery practices.