Prior Auth Required

11970 - 428 Reconstructive Breast Commercial HMO

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Service428 Reconstructive Breast Commercial HMO
Procedure / Service Description

Complete Prior Authorization Request - 15 428 Reconstructive Breast Commercial HMO 11970, 11971, 19316, 19318, 19325, Surgery/Management of Breast and POS 19328, 19330, 19340, 19342, 19350, Implants 19355, 19357, 19361, 19364, 19366,

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.