Prior Auth Required

11970 - Replacement of tissue expander with Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceReplacement of tissue expander with Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - (eg, collagen); over 10.0 cc Optional Physical including functional impairment, and Operative report 11970 Replacement of tissue expander with Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and permanent implant Physical including functional impairment and Operative report.

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.