Prior Auth Required

21083 - Impression & Custom Preparation; Palatal Lift Prosthesis

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceImpression & Custom Preparation; Palatal Lift Prosthesis
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service 21073 (ie, general or monitored anesthesia care) 21083 Impression & Custom Preparation; Palatal Lift Prosthesis 21086 Impression & Custom Preparation; Auricular Prosthesis 21087 Impression & Custom Preparation; Nasal Prosthesis

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.