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Cesarean section is the surgical delivery of a baby by an incision through the mother's abdomen and uterus This shift in site of care, particularly for surgical and endoscopic procedures, has been fueled by the development of less invasive surgical approaches, improvement in anesthetic techniques, and availability of equipment outside of the hospital setting. This procedure is done when doctors determine it a safer alternative than a vaginal delivery for the mother, baby, or both
Hospitals and surgery centers offer different capabilities and specialties, and the outpatient surgical procedures performed at each type of facility vary significantly We are conducting site of service medical necessity reviews, however, to determine whether the outpatient hospital department is medically necessary, in accordance with the terms of the member’s benefit plan. Unitedhealthcare members may choose to receive surgical procedures in an ambulatory surgical center (asc) or other locations
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