After backlash, feds cancel plan that risked limiting breast reconstruction options after cancer

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The Centers for Medicare and Medicaid Services backed off from a plan that could have curtailed access to a type of reconstructive surgery known as DIEP flap. Breast cancer patient advocates are relieved.

how doctors are paid

Through its coding decisions, the federal government can influence the medical options available to patients, even those with private insurance.that it received a"substantial number of responses" verbally and in writing asking regulators to keep the"S" billing codes that reimburse doctors more for the surgery.

"This decision is monumental for breast cancer patients and breast reconstruction," Christy Huling, who had a double mastectomy and DIEP flap surgery, said during CMS' June 1 meeting. Through tears, Huling said she is an avid outdoors person and that her life would have changed"drastically" if she'd instead had reconstruction surgery that removed muscle from her abdomen.

 

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