Prior Auth Required

21087 - Impression & Custom Preparation; Nasal Prosthesis

This procedure appears on the selected insurer prior authorization source.

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

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 21083 Impression & Custom Preparation; Palatal Lift Prosthesis 21086 Impression & Custom Preparation; Auricular Prosthesis 21087 Impression & Custom Preparation; Nasal Prosthesis 21110 Application, Interdental Fixation Device, Non-Fx/Dislocation, W/Removal 21116 Injection Proc, Temporomandibular Joint Arthrography

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.