Prior Auth Required

11960 - Tissue expander; insertion and/or

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceTissue expander; insertion and/or
Procedure / Service Description

CPT Code Non-covered Indication Covered Procedure - 11921 for the treatment of port wine stains, 11922 hemangiomas, or birth marks. 11960 Tissue expander; insertion and/or 11970 replacement for purpose of enhancing 11971 appearance.

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.