Schnur Scale Breast Reduction Calculator

Determine if your breast reduction surgery meets medical necessity criteria based on the Schnur Scale, which correlates body surface area with minimum breast tissue removal requirements.

Enter your height in inches
Enter your weight in pounds
Estimated amount of tissue to be removed per breast in grams

How to Use This Calculator

  1. Enter your height in inches and weight in pounds
  2. Input the planned amount of breast tissue to be removed per breast in grams
  3. Select your insurance type and adjust your age using the slider
  4. Indicate if you're experiencing symptoms of macromastia
  5. Click Calculate to determine if your procedure meets medical necessity criteria

Formula Used

BSA = 0.007184 × height^0.725 × weight^0.425
Minimum Removal = Schnur Scale Value × 22.7

Where:

  • BSA = Body Surface Area in square meters
  • Height = Height in centimeters (converted from inches)
  • Weight = Weight in kilograms (converted from pounds)
  • Schnur Scale Value = Determined from the Schnur Scale chart based on BSA
  • Minimum Removal = Minimum grams per breast needed for medical necessity

Example Calculation

Real-World Scenario:

Sarah is 5'6" (66 inches) tall and weighs 155 pounds. Her surgeon plans to remove 450 grams of tissue from each breast. She has standard insurance and is experiencing back, neck, and shoulder pain due to her breast size.

Given:

  • Height = 66 inches (167.64 cm)
  • Weight = 155 pounds (70.31 kg)
  • Planned Removal = 450 grams per breast

Calculation:

BSA = 0.007184 × 167.64^0.725 × 70.31^0.425 = 1.71 m²

From Schnur Scale, BSA of 1.71 m² corresponds to a minimum removal of approximately 400 grams per breast

Result: Sarah's planned removal of 450 grams per breast exceeds the minimum requirement of 400 grams, so her procedure meets the medical necessity criteria for insurance coverage.

Why This Calculation Matters

Practical Applications

  • Determining insurance coverage eligibility for breast reduction
  • Helping surgeons document medical necessity
  • Providing patients with realistic expectations
  • Standardizing criteria across different insurance providers

Key Benefits

  • Objective measure for medical necessity
  • Reduces subjective insurance approval decisions
  • Helps patients understand coverage likelihood
  • Supports pre-authorization documentation

Common Mistakes & Tips

The Schnur Scale requires height in centimeters and weight in kilograms for the BSA calculation. A common mistake is failing to convert from imperial units (inches and pounds) to metric units. Always double-check your conversions or use a calculator that handles the conversion automatically.

The Schnur Scale chart shows the 22nd percentile of breast resection weights for women of various body surface areas. Some providers misread the chart or use outdated versions. The calculator uses the most current Schnur Scale values to ensure accurate determinations of medical necessity.

While the Schnur Scale is widely used, some insurance providers have their own specific criteria that may differ from or be in addition to the Schnur Scale. Always check with your specific insurance provider for their exact requirements, as they may require documentation of symptoms, conservative treatment attempts, or other criteria.

Frequently Asked Questions

The Schnur Scale is a tool developed by Dr. Lawrence Schnur in 1991 to help determine the medical necessity of breast reduction surgery. It correlates a patient's body surface area with the minimum amount of breast tissue that should be removed for the procedure to be considered medically necessary rather than cosmetic. Many insurance companies use this scale as part of their coverage determination process.

No, meeting the Schnur Scale criteria is not a guarantee of insurance coverage. While it's an important factor, insurance companies may have additional requirements, such as documentation of symptoms (back pain, neck pain, shoulder grooving, rashes), failed conservative treatments, or specific body mass index (BMI) criteria. Always check with your insurance provider for their complete requirements.

If your planned reduction doesn't meet the Schnur Scale minimum, it doesn't necessarily mean you can't have the surgery or that it won't be covered. Some insurance companies make exceptions based on symptom severity, body proportions, or other factors. You may also choose to pay for the procedure out-of-pocket if it doesn't meet insurance criteria. Discuss your options with your surgeon.

While the Schnur Scale is widely used, not all insurance providers use it. Some have their own specific criteria or may use alternative scales such as the ASPS (American Society of Plastic Surgeons) guidelines. Medicare and Medicaid may have different requirements than private insurance. Always verify the specific criteria used by your insurance provider.

References & Disclaimer

Medical Disclaimer

This calculator provides estimates based on the Schnur Scale and is not a substitute for professional medical advice. The results should not be used as the sole determinant for insurance coverage or medical necessity. Consult with a board-certified plastic surgeon and your insurance provider for specific information regarding your individual case. This calculator does not provide medical advice, diagnosis, or treatment.

References

Accuracy Notice

This calculator uses the most current Schnur Scale values available, but insurance criteria may change. The calculator provides estimates only and individual insurance providers may have different requirements. The accuracy of the results depends on the accuracy of the information provided. Always verify coverage criteria directly with your insurance provider.

About the Author

Kumaravel Madhavan

Web developer and data researcher creating accurate, easy-to-use calculators across health, finance, education, and construction and more. Works with subject-matter experts to ensure formulas meet trusted standards like WHO, NIH, and ISO.

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health womens-health-wellness schnur scale breast reduction medical body