Prior Auth Required

19342 - Insertion or replacement of breast implant on separate day from mastectomy

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInsertion or replacement of breast implant on separate day from mastectomy
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 19330 Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) 19340 Insertion of breast implant on same day of mastectomy (ie, immediate) 19342 Insertion or replacement of breast implant on separate day from mastectomy 19350 Nipple/areola reconstruction 19355 Correction of inverted nipples

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.