Is cranial prosthesis covered by insurance?

How do you bill a cranial prosthesis?

The most commonly used CPT codes for reimbursement/billing of a cranial prosthesis are:

  1. A9282 “Wig, Any Type, each”
  2. D5924 “Cranial Prosthesis”
  3. S8095 “Cranial Prosthesis”

Are wigs covered by insurance?

Many health insurance companies cover part or all of the cost of the wig if your doctor writes a prescription. … Before purchasing a wig, call your health insurance company and ask if they will cover a “cranial prosthesis” for hair loss related to chemotherapy or radiation therapy.

Is a cranial prosthesis considered durable medical equipment?

Have your doctor mention why the cranial prosthesis is a Durable Medical Equipment (DME). Your insurance may also request a National Provider Identifier (NPI) code. You’ll be able to get this from your doctor to put on your claim file.

How can I get insurance for my wig?


  1. Get pre-approval for your medical wig. Coverage will vary by health insurance companies and your specific conditions of your insurance. …
  2. You’ll need a prescription from your doctor. …
  3. Purchase your medical wig. …
  4. Submit your claim.
THIS IS IMPORTANT:  Is it OK to play tennis with sciatica?

How much does hair prosthesis cost?

Depending on what the hair and scalp prosthesis needs to cover, it can range anywhere from $3,600-$6,000, on average.

What is cranial hair prosthesis?

A hair prosthesis (or cranial prosthesis) is a custom-made wig specifically designed for patients who have lost their hair as a result of medical conditions or treatments, such as alopecia areata, alopecia totalis, trichotillomania, chemotherapy, or any other clinical disease or treatment resulting in hair loss.

How much does a cheap wig cost?

The cost of a wig depends on the features, for example a really good basic wig is between $30 – $100, a lace front wig can be between $99 – $399 and human hair wigs are up to $2,000.

How can I get a free wig sent to me?

Fortunately, there are many organizations that provide free wigs to those who have lost their hair.

  1. Pantene Beautiful Lengths. This organization, perhaps one of the most widely known by women who choose to donate their hair, partners with the American Cancer Society. …
  2. Wigs for Kids. …
  3. Ebeauty. …
  4. Hair We Share.

Can I get my hair turned into a wig?

You will want to ensure the hair you collect is similar to your natural hair in length, color, and texture. Even if your hair has been color-treated or dyed, you can still send that hair in to be manufactured into a wig, as long as the hair is healthy enough to be fashioned into a wig.

How do I get my cranial prosthesis covered by insurance?

Request and obtain a prescription for a “cranial prosthesis” (or the specific terminology required by you Health Insurance Provider) from your doctor or physician including the medical procedure code A9282. Make sure the prescription does not say “wig.” A wig is a fashion item and is therefore not medically necessary.

THIS IS IMPORTANT:  Why is my sciatica worse in the morning?

Does Medicare pay for cranial prosthesis?

However, Medicare doesn’t classify wigs as medically necessary prosthetics, even when they’re prescribed by your doctor and described as “cranial prosthetics.”

Is a wig considered a prosthesis?

A wig or hairpiece is a prosthetic supply for hair loss and is comprised of a hairpiece of human or artificial hair worn as personal adornment or to conceal baldness.

Is alopecia areata covered by insurance?

No, alopecia areata is not considered cosmetic by most major health insurance providers because it’s caused by an autoimmune reaction. … Check with your insurance carrier for details, since the amount of hair loss you’re experiencing could affect coverage amounts and treatment options.

How much does Cesare Ragazzi cost?

Cesare Ragazzi works with hair clinics worldwide including about 40 in the U.S. Maples’s hair piece cost between $5200 and $6000.