Prior Auth Required

11970 - Cosmetic & Reconstructive Replace tissue expander

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic & Reconstructive Replace tissue expander
Procedure / Service Description

Code Mod Procedures & Services Description Rule Description - 11954 Cosmetic & Reconstructive Tx contour defects >10.0 cc 11960 Cosmetic & Reconstructive Insert tissue expander(s) 11970 Cosmetic & Reconstructive Replace tissue expander 11971 Cosmetic & Reconstructive Remove tissue expander(s) 15730 Cosmetic & Reconstructive Mdfc flap w/prsrv vasc pedcl

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.