Prior Auth Required

21116 - 4/2025 MP 035 Temporomandibular Joint Disorder clarified. CPT codes and

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service4/2025 MP 035 Temporomandibular Joint Disorder clarified. CPT codes and
Procedure / Service Description

8/2025 MP 194 Behavioral Health Continuum of Care added. Prior authorization is required for - 5/2025 MP 485 Intraosseous Basivertebral Nerve Ablation clarified. CPT 64629 removed. Prior authorization is no longer required for 64629. Effective 5/1/2025. 4/2025 MP 035 Temporomandibular Joint Disorder clarified. CPT codes 21073 and 21116 removed. Prior authorization is no longer required for codes 21073 and 21116. Effective 4/1/2025.

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.