Medicare does cover reconstructive surgery after massive weight loss. Here is the link that quotes their pre-requisites chapter and verse:
search term: plastic
I am having a problem with a surgeon who accepts Medicare but doesnt have the first clue about how to bill them. I have a letter of medical necessity explaining how the extra skin poses a threat to my health due to high probability of recurrance gyno issues. Plus a letter of medical recommendation from my GBS surgeon. Plus the surgeon at my first consult had no doubts whatsover I met the Medicare guidelines. I did not choose him b/c I hate their hospital.
Not only did they cancel my pre-op and my op date yesterday (2 days before the pre-op), they have flatly refused all of my referalls to get the info they need from other practices in my area. They claim Medicare hasn't helped them. Medicare helped me and I am the patient, so I know they are full of it. At this point I am down to hunting down procedure codes and other documentation myself. Something I would have done in the first place had I known they did not do their own billing.
120 - Cosmetic Surgery
(Rev. 1, 10-01-03)
A3-3160, HO-260.11, B3-2329
Cosmetic surgery or expenses incurred in connection with such surgery is not covered. Cosmetic surgery includes any surgical procedure directed at improving appearance, except when required for the prompt (i.e., as soon as medically feasible) repair of accidental injury or for the improvement of the functioning of a malformed body member. For example, this exclusion does not apply to surgery in connection with treatment of severe burns or repair of the face following a serious automobile accident, or to surgery for therapeutic purposes which coincidentally also serves some cosmetic purpose.
Did you have something else that specifically says reconstructive or massive weight loss?