Prior Auth Required

21145 - Reconstruction Midface, Lefort I; 1 Piece, W/Bone Grafts

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Procedure / ServiceReconstruction Midface, Lefort I; 1 Piece, W/Bone Grafts
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, 21143 without bone graft 21145 Reconstruction Midface, Lefort I; 1 Piece, W/Bone Grafts Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring 21146 bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft)

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.