Premera Blue Cross of Washington prior authorization 19296

Premera Blue Cross of Washington prior authorization for 19296: Placement of radiotherapy after loading balloon catheter 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 after loading balloon catheter into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy
Source: Clinical Review by Code List PBCWA, Pg 240 Original policy

Premera Blue Cross of Washington prior authorization

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