Prior Auth Required

21150 - Reconstruction Midface, Lefort Ii; Anterior Intrusion

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceReconstruction Midface, Lefort Ii; Anterior Intrusion
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or 21147 multiple osteotomies) 21150 Reconstruction Midface, Lefort Ii; Anterior Intrusion 21151 Reconstruction Midface, Lefort Ii; W/Bone Grafts 21154 Reconstruction Midface, Lefort Iii, W/Bone Grafts; W/O Lefort I

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.