Breast Reconstruction Following Mastectomy

Medicare covers breast reconstruction surgery after a medically necessary mastectomy for any medical reason, including reconstruction of the affected breast and reconstruction of the contralateral unaffected breast. Procedures performed solely for cosmetic reasons are excluded from coverage under §1862(a)(10).

"Breast reconstruction of the affected breast is covered when performed following a medically necessary mastectomy."

Sign up to see full coverage criteria, indications, and limitations.