Blue Cross and Blue Shield of Alabama will implement the National Blue Cross Blue Shield Association's guidelines for Reduction Mammoplasty.
General anesthesia is required.
Pain in upper back and shoulders resulting in documented work loss and interference with activities of daily living. Ulceration of skin of shoulder or shoulder grooving not responding to conservative treatment, including support bra. Intertrigo between the pendulous breast and the chest wall. Front and lateral view pictures and a copy of the chart for the previous six months of a patient's office visits should accompany the request for coverage for surgery. The record should reflect the patient's height and weight and the anticipated amount of breast tissue to be removed, and that the size and shape of the breast is causing the symptoms.