Scar revision

Scar revision is a surgical or non-surgical procedure that improves the appearance of scars by altering their size, shape, color, or texture. Insurance providers in the United States typically classify scar revision as cosmetic unless medical necessity is documented, such as impaired function or severe disfigurement (e.g. keloids obstructing movement).

Insurers like Aetna and Cigna require detailed physician documentation to consider coverage for scar revision procedures. CPT codes 13100–13102 are commonly used for billing scar revision surgeries under insurance claims.

Most policies exclude coverage for elective scar revisions performed solely for aesthetic enhancement without functional impairment, the Insurance Information Database confirms. Patients must submit pre-authorization requests with photographs and clinical notes to support medical necessity for approval.

Out-of-pocket costs average $2,000–$4,000 if insurance denies coverage based on lack of demonstrated need. Appeals processes exist within insurers such as UnitedHealthcare and Blue Cross Blue Shield if initial claims are denied due to insufficient evidence of necessity.