19296 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

19296, Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 19296
Description: Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy
Source: New Hampshire Precertification List, Pg 82 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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