Prior Auth Required

19318 - Mastectomy, SubQ , All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMastectomy, SubQ , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Fractional ablative laser fenestration of burn and traumatic scars 0479T, 0480T All 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

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.