19380 prior authorization | Anthem Blue Cross and Blue Shield Nevada
19380, Revision of reconstructed breast (eg, significant removal of tissue, re- advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision comb, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 19380
- Description
- Revision of reconstructed breast (eg, significant removal of tissue, re- advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision comb
- Source
- Nevada Prior Authorization List, Pg 10 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization