Prior Auth Required

19369 - Breast Reconstruction (post-cancer) , , , , , , , , All

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceBreast Reconstruction (post-cancer) , , , , , , , , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - 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 Lesion Destruction 17000, 17003, 17004, 17106, 17107, 17108 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.