Prior Auth Required

21141 - Reconstruction Midface, Lefort I; 1 Piece, W/O Bone Graft

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction Midface, Lefort I; 1 Piece, W/O Bone Graft
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 21138 Reduction Forehead; Contouring/Prosthesis/Bone Graft W/Obtaining Autograft 21139 Reduction Forehead; Contouring & Setback, Anterior Frontal Sinus Wall 21141 Reconstruction Midface, Lefort I; 1 Piece, W/O Bone Graft Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone 21142 graft

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.