Prior Auth Required
19294 - Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServicePreparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation
Procedure / Service Description
additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary - 17999 Unlisted procedure, skin, mucous membrane and subcutaneous tissue 19125 Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion 19294 Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for primary procedure)
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.