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Cosmetic and Reconstructive Surgery

Policy Definition Cosmetic surgery is any surgical procedure ... following services will not be reimbursed: Skin tag ... Not reimbursed 19355 Correct inverted nipples 19300 Mastectomy ...

https://www.harvardpilgrim.org/pls/portal/url/item/9D6FE148560E472D91498FF021B007D0