Blue Cross and Blue Shield of Montana prior authorization 19294

Blue Cross and Blue Shield of Montana prior authorization for 19294: Preparation Of Tumor Cavity With Placement Of A Radiation Therapy Applicator For Intraoperative Radiation Therapy (Iort) Concurrent With Partial Mastectomy (List Separately In Addition To Code For Primary Procedure)

Code: 19294
Description: Preparation Of Tumor Cavity With Placement Of A Radiation Therapy Applicator For Intraoperative Radiation Therapy (Iort) Concurrent With Partial Mastectomy (List Separately In Addition To Code For Primary Procedure)
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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