Reconstructive Breast Surgery/Management of Breast Implants. sequela code range T85.42C (A,D,S) Displacement of breast prosthesis and implant, initial, subsequent, sequela code range T85.43X

Blue Cross of Idaho · PayerPolicy · BCIDAHO-07-01-022

Summary of the payer’s published policy. Not a coverage determination — confirm with Blue Cross of Idaho before submitting.

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