Prior Auth Required
19499 - Procedure - Oncology Unlisted procedure, breast [when specified as destruction of breast
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceProcedure - Oncology Unlisted procedure, breast [when specified as destruction of breast
Procedure / Service Description
Mountain Health Co-Op, Services Requiring Prior Authorization 4 - Surgical - Breast 19396 Preparation of moulage for custom breast implant Procedure - Oncology 19499 Unlisted procedure, breast [when specified as destruction of breast tissue by high intensity
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.