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Response to Comments: Cosmetic and Reconstructive Surgery (DL39051)
A58896
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: November 14, 2021
Updated: December 31, 2025
Policy Summary
This document is a response to public comments on Draft LCD DL39051 (Cosmetic and Reconstructive Surgery) and does not itself state specific coverage indications, limitations, documentation requirements, or frequency limits. For actionable coverage criteria, consult the final Local Coverage Determination DL39051 and related policy documents; manual review of those primary documents is recommended to extract detailed, enforceable criteria.