Prior Auth Required

81433 - Breast reconstruction Prior authorization required 19316 19318 19324 19325

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceBreast reconstruction Prior authorization required 19316 19318 19324 19325
Procedure / Service Description

Electronic stimulation or ultrasound to - BRCA genetic testing Prior authorization required 81162 81211 81212 81213 81214 81215 81216 81217 81432 81433 Breast reconstruction Prior authorization required 19316 19318 19324 19325 (non-m astectomy) 19328 19330 19340 19342

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.