Prior Auth Required

19307 - excluding pectoralis major muscle

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceexcluding pectoralis major muscle
Procedure / Service Description

Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but - 19303 Mastectomy, simple, complete Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but 19307 excluding pectoralis major muscle 20680 Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate) Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included

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.