Prior Auth Required

11921 - for the treatment of port wine stains

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicefor the treatment of port wine stains
Procedure / Service Description

CPT Code Non-covered Indication Covered Procedure - documentation) 11920 Tattooing (flesh color) of the areola or 11921 for the treatment of port wine stains, 11922 hemangiomas, or birth marks. 11960 Tissue expander; insertion and/or

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.