CPT 19306, in plain terms, covers Surgical removal of the breast tissue, including the nipple and surrounding area, typically performed to treat or prevent breast cancer. CPT 19306 is referenced in 4 tracked payer policy changes from Blue Cross Blue Shield of North Dakota, EmblemHealth, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 19306 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 19306 on AAPC
Related
Get alerts for changes like this
Save a search and receive a daily digest whenever a new policy change matches your filters.