Prior Auth Required

19350 - Nipple/areola reconstruction

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceNipple/areola reconstruction
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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 19357 Tissue expander placement in breast reconstruction, including subsequent expansion(s)

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.