Prior Auth Required

19369 - flap

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceflap
Procedure / Service Description

Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button - 19368 (TRAM) flap, requiring separate microvascular anastomosis (supercharging) Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) 19369 flap Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re- inset of flaps in autologous reconstruction or significant capsular revision combined with soft

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.