19380 prior authorization | Anthem Blue Cross Blue Shield of Georgia
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 combined with soft tissue excision in implant-based reconstruction), is on the Anthem Blue Cross Blue Shield of Georgia 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 combined with soft tissue excision in implant-based reconstruction)
- Source
- Standard Local Prior Authorization Code List, Pg 95 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization