Prior Auth Required

19369 - Surgical - Breast Breast reconstruction; with bipedicled transverse rectus abdominis

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - Breast Breast reconstruction; with bipedicled transverse rectus abdominis
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 4 - microvascular anastomosis (supercharging) Surgical - Breast 19369 Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap

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.