Prior Auth Required

19316 - Mastopexy All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceMastopexy All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Grafting of autologous soft tissue, fat by liposuction 15769, 15771, 15772, 15773, 15774 All Mastectomy, SubQ 19300, 19318 All Mastopexy 19316 All Malar augmentation 21270 All Mandibular augmentation 21125, 21127 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.