19296 prior authorization | Anthem Blue Cross Blue Shield of Georgia
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 Blue Shield of Georgia 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
- Standard Local Prior Authorization Code List, Pg 1 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization