Prior Auth Required

19301 - Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceMastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)
Procedure / Service Description

includes imaging guidance - breast for interstitial radioelement application following (at the time of or subsequent to) partial mastectomy, includes imaging guidance 19301 Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); 19303 Mastectomy, simple, complete 19316 Mastopexy

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.