How accurate is the Schnur Sliding Scale? : r/Reduction - Reddit 2022 Oct 1;150(4):723e-730e. If the amount plots above the 22nd percentile and the member has a functional impairment, the procedure is reconstructive. An official website of the United States government. Your email address will not be published. reason or as a medically necessary procedure. Wolters Kluwer Health, Inc. and/or its subsidiaries. may email you for journal alerts and information, but is committed 22nd percentile on the schnur chart 22nd percentile on the schnur chart. What Im confused about is how to tell if I am above the 22 percentile or below. <>stream 0000000998 00000 n She also had significant back, neck and shoulder pain due to extremely large breasts. Coverage Policy Manual - Arkansas Blue Cross and Blue Shield DOC Breast Reduction Surgery This chart compares the quantity of removed breast tissue to your body surface area. Boukovalas S, Padilla PL, Spratt H, Tran JP, Li RT, Boson AL, Howland N, Phillips LG. 1341 0 obj doi: 10.1097/PRS.0000000000005712. If the amount plots doi: 10.1097/PRS.0000000000009536. To convert pounds to kilograms, multiply pounds by 0.4536. At all. (I'm trying to figure out where I fall in that gray area, thus my original question) From the Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA. C. POLICY For Special Needs Plan members, reference the below link to search for Applicable National Coverage Descriptions (NCD) and Local Coverage Descriptions (LCD): For example, the familiar Schnur sliding scale was devised as a nomogram that relates resected breast weight to body surface area and defines surgeries resulting in resection weights above the 22nd percentile as being reconstructive, whereas those below the fifth percentile as cosmetic. PDF 703 Reduction Mammaplasty e`TacraLZ,7Hc,`9?b="`pl-e5f hVp"n mg+V@2Xd`Mj^ ` &6 The goal of medically necessary breast reduction surgery is, Is the breast reduction procedure painful? The Schnur Sliding Scale is an evaluation tool that is used to determine the appropriate amount of tissue . How do you search old text messages on iPhone? My insurance company states according to the Schnur Sliding scale, I would need 527 grams removed from each breast as one criteria. You are here: Home How What is the 22nd percentile on the Schnur chart? If the individual's body surface area and weight of breast tissue removed fall above the 22nd percentile, . doi: 10.1097/SAP.0000000000001885. This patient is a 36-year-old female who presented to my medicaloffice with complaints of breast size larger than desired with severe drooping, which caused back, neck, shoulder pain, bra strap grooves, and difficulty with fitting into clothes and exercising. How do you cleanse your crystals and charge them? This patient is a 42 year old female who requested a consult at my facility due to problems with oversized breasts. I couldn't find information on the 5th percentile anywhere. breast tissue removed fall below the lower 22nd percentile, then the surgery is deemed not medically necessary. It compares the patient's body surface area by the weight of breast tissue to be removed in surgery. If the amount plots above the 22ndpercentile and the member has a Functional Impairment, the procedure is reconstructive. 22nd percentile breast reduction - Cosmetic Surgery Tips How much is 900 grams in breast reduction? The Schnur Sliding Scale is widely used by insurance companies in the western United States in the process of preauthorizing breast reduction operations, and its use may be spreading eastward. Many women report others commenting on how much slimmer and taller they look after reduction surgery. those with breast weight above the 22nd percentile line likely had the procedure performed for medical reasons, while those below the 5th percentile line likely had the procedure performed for cosmetic reasons, and those falling between the lines had the procedure formed for mixed reasons. doi: 10.1097/PRS.0000000000007605. Mosteller: BSA (m) = SQRT{ [ height (cm) x weight (kg)] / 3600 }. In 1991, Dr Paul Schnur and his colleagues published an article correlating the weight of breast tissue to be removed in a breast reduction operation with the total body surface area (BSA) of the patient. 1340 0 obj %%EOF Insurance companies took this information, created a chart based on the 22nd percentile, and use it to deny all procedures that don't meet that.

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