Free-flap breast reconstruction (CPT 19364: DIEP, fTRAM, SIEA, GAP) is WHCRA-mandated. The S-code sunset and co-surgeon billing decide what it pays.

Does your EMR’s AI actually exist yet? A vendor-by-vendor 2026 scorecard of specialty EMR/EHR AI — what shipped, what’s roadmap, and what to ask.

Endovenous vein ablation (36475 RF, 36478 laser) is covered for documented saphenous reflux after a failed compression trial — not for spider veins or appearance.

Breast reduction (CPT 19318) coverage isn’t only the Schnur gram threshold — two documented symptoms can qualify it, and prior auth decides whether it pays.

Functional blepharoplasty (CPT 15823) is covered only when excess eyelid skin blocks vision — and the visual field test, not the photo, is what proves it.