Prior Auth Required

19370 - Revision of peri-implant capsule, breast, 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 / ServiceRevision of peri-implant capsule, breast, Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - reconstruction, including subsequent Physical including functional impairment, expansion(s) and Operative report. 19370 Revision of peri-implant capsule, breast, Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and including capsulotomy, capsulorrhaphy, Physical including functional impairment and/or partial capsulectomy 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.