Beginning January 1, 2022, ASR Health Benefits is requiring certification for the following surgeries:
- Back surgeries and hardware related to surgery
- Osteochondral allograft, knee
- Hysterectomy (including prophylactic)
- Autologous chondrocyte implantation, Carticel
- Transplant (excluding cornea)
- Balloon sinuplasty
- Sleep apnea-related surgeries, limited to the following:
- Radiofrequency ablation (coblation, somnoplasty)
- Uvulopalatopharyngoplasty, including laser-assisted procedures
- Potentially cosmetic procedures, including but not limited to the following:
- Abdominoplasty
- Blepharoplasty
- Cervicoplasty (neck lift)
- Facial skin lesions (photo therapy, laser therapy, excluding Mohs)
- Hernia repair, abdominal and incisional (only when associated with a cosmetic procedure)
- Intradiscal Electrothermoplasty (thermal intradiscal procedures)
- Liposuction/Lipectomy
- Mammoplasty, augmentation and reduction (including removal of implant)
- Mastectomy (including gynecomastia and prophylactic)
- Morbid obesity procedures
- Orthognathic procedures (e.g. genioplasty, lefort osteotomy, mandibular open reduction internal fixation, temporomandibular joint surgery)
- Otoplasty
- Panniculectomy
- Rhinoplasty
- Rhytidectomy
- Scar revisions
- Septoplasty
- Varicose vein surgery/Sclerotherapy
Certification List 2022