Prior Auth Required

19380 - Surgical - Breast Revision of reconstructed breast (eg, significant removal of tissue, re

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - Breast Revision of reconstructed breast (eg, significant removal of tissue, re
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 4 - Surgical - Breast 19371 REMOVAL OF BREAST CAPSULE Surgical - Breast 19380 Revision of reconstructed breast (eg, significant removal of tissue, re- advancement and/or re-inset of flaps in autologous reconstruction

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.