19307 Insurance Policy Changes

CPT 19307, in plain terms, covers A surgical procedure to remove breast tissue while preserving the chest wall muscles and skin for reconstruction purposes. CPT 19307 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 19307 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 19307 on AAPC