Prior Auth Required

19318 - Breast reduction Prior Authorization Required Medical Necessity Including Site Site of service, pre-operative evaluation

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceBreast reduction Prior Authorization Required Medical Necessity Including Site Site of service, pre-operative evaluation
Procedure / Service Description

Physical including functional impairment - Physical including functional impairment and Operative report. 19318 Breast reduction Prior Authorization Required Medical Necessity Including Site Site of service, pre-operative evaluation, of Service height/ weight, previous conservative treatment tried, pathology 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.