Prior Auth Required
0970T - mastectomies for breast
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Servicemastectomies for breast
Procedure / Service Description
Category Subcategory/notes Codes and comments - reconstruction following 19340, 19342, 19350, medically necessary 19357, 19370, 19371, mastectomies for breast 19380, 0970T, 0971T, cancer) C1789, L8600 Simple mastectomy and 19300, 19303
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.