19296 prior authorization | Blue Cross and Blue Shield of Montana

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 Blue Cross and Blue Shield of Montana commercial 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: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 5 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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