Prior Auth Required

21247 - congenital disease or anomaly of a covered

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicecongenital disease or anomaly of a covered
Procedure / Service Description

performed solely for purpose of to or following surgery, trauma, infection, or - 21195, 21198, solely for purpose of enhancing following surgery, trauma, infection, or other 21245, 21246, appearance. diseases of the involved part, or to correct a 21247, 21249 congenital disease or anomaly of a covered

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.