Prior Auth Required

19370 - medically necessary

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicemedically necessary
Procedure / Service Description

Category Subcategory/notes Codes and comments - (excludes breast 19325, 19328, 19330, reconstruction following 19340, 19342, 19350, medically necessary 19357, 19370, 19371, mastectomies for breast 19380, 0970T, 0971T, cancer) C1789, L8600

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.