Necessary Surgery
Definition
Necessary surgery is a term that refers both to a medical requirement for the surgery determined by a physician and to an insurance plan's inclusion of the surgery in the covered conditions. For the most part, these two ways of talking about required surgery coincide. When they do not, the physician is asked to demonstrate to the insurance plan that the surgery is necessary by reference to the medical condition to be treated and the customary medical practice that deems it required as opposed to optional or elective.
Purpose
More than 40 million surgeries were performed in the United States in 2000, with an average of 4.6 days in hospital. Not all surgery is an emergency. Not all surgery is medically required. Some surgeries are for cosmetic or for aesthetic enhancements and are...
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