Prior Auth Required

21083 - Impression and custom preparation of Insertion or injection of prosthetic material for

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceImpression and custom preparation of Insertion or injection of prosthetic material for
Procedure / Service Description

years of age and older. Surgery performed - impairment. 21083, 21087 Impression and custom preparation of Insertion or injection of prosthetic material for Yes palatal lift or nasal prosthesis for significant deformity when performed incidental purpose of enhancing appearance. to or following surgery, trauma, infection, 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.