Prior Auth Required

19330 - Breast Implant Removal , All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceBreast Implant Removal , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Blepharoplasty 15820, 15821, 15822, 15823 All Prophylactic Mastectomy (Total/Simple) 19303 All Breast Implant Removal 19328, 19330 All Breast Reconstruction (post-cancer) 19325, 19340, 19342, 19357, 19361, 19364, 19367, 19368, 19369 All Gynecomastia Surgery (male mastectomy) 19300 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.