Prior Auth Required

19364 - Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceBreast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 19355 Correction of inverted nipples 19357 Tissue expander placement in breast reconstruction, including subsequent expansion(s) 19364 Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap) 19370 Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy

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.