19380 prior authorization | Anthem Blue Cross Blue Shield of California
19380, Revision of reconstructed breast (e.g., significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 19380
- Description
- Revision of reconstructed breast (e.g., significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)
- Source
- California PPO Prior Authorization List, Pg 2 Original policy
Anthem Blue Cross Blue Shield of California prior authorization