Prior Auth Required

11960 - Insertion of tissue expander(s) for other than breast, including subsequent expansion

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceInsertion of tissue expander(s) for other than breast, including subsequent expansion
Procedure / Service Description

each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) - 11952 Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc 11954 Subcutaneous injection of filling material (eg, collagen); over 10.0 cc 11960 Insertion of tissue expander(s) for other than breast, including subsequent expansion 11971 Removal of tissue expander without insertion of implant 11981 Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)

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.