S2066 prior authorization | Anthem Blue Cross Blue Shield of Georgia

S2066, Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: S2066
Description: Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
Source: Standard Local Prior Authorization Code List, Pg 119 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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