Prior Auth Required

11971 - Other breast procedures

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceOther breast procedures
Procedure / Service Description

Category Subcategory/notes Codes and comments - oncology@newcenturyhealth .com. Other breast procedures 11971, 19316, 19318, (excludes breast 19325, 19328, 19330, reconstruction following 19340, 19342, 19350,

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.