Billing for plastic surgery has become more difficult with the 2025 and 2026 updates introducing new CPT codes, stricter medical necessity reviews, and increased denials for procedures labeled cosmetic, even when documentation supports coverage. Many practices are losing revenue simply due to outdated billing workflows.
Paymedics provides specialized plastic surgery billing services designed to protect your revenue and simplify your operations. Our team manages complex coding documentation and payer communication so your claims move faster and your staff can stay focused on patients.
If your staff is stretched thin and payments are lagging, it’s time to outsource plastic surgery billing services to a team that stays current, adapts quickly and knows how to protect your revenue from day one.
Let Paymedics fix what’s slowing down your payments
At Paymedics, we provide a complete package of plastic surgery, medical billing and coding services. Our team steps in to handle every part of our billing process, so you can focus on what matters the most. Which is patient care.
We confirm active coverage review eligibility and identify pre-authorization needs before scheduling to prevent last-minute claim issues and patient misunderstandings
Our team manages all payer-specific authorization requirements, securing approvals faster and avoiding costly delays or last-minute cancellations due to missing paperwork
Certified coders select the right CPT and ICD-10 codes including necessary modifiers ensuring every procedure is clearly supported and properly classified
We guide your staff on clinical notes and attach required materials like photos or reports to help justify medical necessity for borderline cases
Each claim is reviewed for compliance errors and submitted cleanly the first time reducing rejection rates and improving turnaround from payers
We monitor all denials flag reasons quickly and resubmit corrected claims with the right documentation to recover revenue you shouldn’t have lost
When you outsource plastic surgery billing services to Paymedics, you gain a partner who knows the rules solves problems fast, and keeps your revenue moving in the right direction.
We verify patient details insurance coverage, and authorization needs before the visit begins, reducing risk and confusion later in the billing cycle.
We prepare and submit prior auth requests with full documentation following each insurer’s current process and guidelines for faster approvals.
Every claim is reviewed for accuracy and compliance then submitted electronically with full supporting documentation to reduce rejections.
We confirm what’s covered what’s not and gather payer-specific requirements so there are no surprises for your team or your patients.
Our coders assign the correct CPT ICD-10 and modifier combinations based on the procedure notes and medical records provided
If a claim is denied, we investigate the reason correct any issues, and resubmit quickly to recover lost revenue without delays
Plastic surgery includes many focused treatment areas, each with its own coding rules, documentation needs and payer risks. Our team works across subspecialties daily and understands how billing differs from one procedure type to another
Practices that use our plastic surgery billing services see measurable results from the first quarter, fewer denials better cash flow and less time wasted on rework
If you’re tired of claim denials late payments, or spending hours fixing billing issues it’s time to let a team that knows plastic surgery billing do it right.
We’ll take a close look at your current process show you where revenue is slipping, and walk you through how we can fix it.
Plastic surgery billing is complex. You’re not just dealing with codes, you’re dealing with rules that shift depending on whether something is cosmetic reconstructive or somewhere in between
We make sure the codes used reflect the actual service provided backed by correct modifiers and documentation, to avoid confusion or unnecessary denials
You don’t need to over-document or second-guess. We help your staff know what payers want to see especially when claims are likely to be flagged
When a surgery has both cosmetic and reconstructive elements we split and bill it clearly so nothing gets bundled incorrectly or held up by a payer
Yes. We bill both, but they’re handled differently. Cosmetic and reconstructive procedures follow different payer rules, and we separate them correctly so claims don’t get stuck.
That happens a lot. If documentation supports medical necessity, we help present it properly and resubmit instead of writing the claim off too quickly.
Yes. Code updates and payer rules are part of daily work now. We adjust workflows as changes roll out so older rules don’t keep causing denials.
We don’t ask for extra work. We review what you already document and let you know if something small is missing before claims are sent.
Yes. We handle prior auths based on payer rules, especially for procedures that are often reviewed closely or delayed without approval.
Those cases are billed carefully. We split services when needed and support each portion properly so payers don’t bundle or reject everything together.
You won’t be guessing. You’ll see what’s billed, what’s paid, what’s delayed, and where follow-up is still needed.
Yes. We don’t treat plastic surgery like general billing. Our team works with these cases regularly and understands how payers review them.
