Listed below are guidelines for breast reduction surgery for Arkansas Rehabilitation Services:

1. (1) There must be verification of back/neck pain for at least six (6) months by a medical physician (not just the cosmetic surgeon) that has not responded to conservative treatment;
2. (2) There should be no other etiology of back pain other than enlarged breast, such as scoliosis, morbid obesity (BMI 40 or above), degenerative disc disease, etc.;

3. (3)

   1. (A) There should be no family history of breast cancer in first degree maternal relatives.
   2. (B) If this is present, a mammogram shall be performed prior to breast reduction; and
4. (4) Liposuction is considered cosmetic surgery and is not covered by Arkansas Rehabilitation Services.

Codification Notes: “BMI” means body mass index.