Prior Auth Required

19306 - (Breast Reconstruction Surgery cont.) ● Reconstruction of the breast on which the mastectomy was performed. 19364; 19366; 19367; 19368; 19369; S2066; S2067; S2068

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service(Breast Reconstruction Surgery cont.) ● Reconstruction of the breast on which the mastectomy was performed. 19364; 19366; 19367; 19368; 19369; S2066; S2067; S2068
Procedure / Service Description

not require a prior authorization) includes - Breast Reconstruction Surgery (does Benefits are available for breast reconstruction related to a covered mastectomy, which The following codes are exempt from prior authorization: not require a prior authorization) includes: 19303; 19304; 19305; 19306; 19307; 19340; 19342; 19350; 19355; 19357; 19361; (Breast Reconstruction Surgery cont.) ● Reconstruction of the breast on which the mastectomy was performed. 19364; 19366; 19367; 19368; 19369; S2066; S2067; S2068 ● Surgery and reconstruction of the other breast to produce an even

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.