Blue Cross and Blue Shield of Montana prior authorization 19296

Blue Cross and Blue Shield of Montana prior authorization for 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

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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