Prior Auth Required

19380 - Revision of reconstructed breast (eg, 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 reconstructed breast (eg, Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - complete, including removal of all Physical including functional impairment intracapsular contents and Operative report. 19380 Revision of reconstructed breast (eg, Prior Authorization Required Cosmetic - Reconstructive Pre Operative Evaluation, History and significant removal of tissue, re- Physical including functional impairment, advancement and/or re-inset of flaps in 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.