ASR Surgeries Requiring Certification

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