Prior Auth Required

19342 - Insertion or replacement of breast implant 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 / ServiceInsertion or replacement of breast implant Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and
Procedure / Service Description

Physical including functional impairment, - mastectomy (ie, immediate) Physical including functional impairment, and Operative report. 19342 Insertion or replacement of breast implant Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and on separate day from mastectomy 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.