Prior Auth Required

19318 - Breast Reconstruction Procedures

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceBreast Reconstruction Procedures
Procedure / Service Description

Cosmetic Procedures - Medical Necessity Review Required to Determine Cosmetic vs Reconstructive - Blepharoplasty 15820, 15821, 15822, 15823, 67904, 67912, 67916, 67917, 67923, 67924 19316, 19318, 19324, 19325, 19328, 19330, 19340, 19342, 19350, 19355, 19357, 19361, 19364, 19366, Breast Reconstruction Procedures 19367, 19368, 19369, 19370, 19371, 19380, 19396

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.