Prior Auth Required

19294 - IORT applicator placement (add-on) All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceIORT applicator placement (add-on) All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Head/Neck named pedicle flap 15733 All Endovenous ablation with chemical adhesive 36482, 36483 All IORT applicator placement (add-on) 19294 All Photodynamic Therapy – external light (per day) 96573 All Debridement + Photodynamic Therapy (per day) 96574 All

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.