19296* prior authorization | Cigna

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 Cigna 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: Master Precertification List For Health Care Providers, Pg 20 Original policy

Cigna prior authorization

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