Prior Auth Required

21155 - Reconstruction Midface, Lefort Iii, W/Bone Grafts; W/Lefort I

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction Midface, Lefort Iii, W/Bone Grafts; W/Lefort I
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 21151 Reconstruction Midface, Lefort Ii; W/Bone Grafts 21154 Reconstruction Midface, Lefort Iii, W/Bone Grafts; W/O Lefort I 21155 Reconstruction Midface, Lefort Iii, W/Bone Grafts; W/Lefort I 21159 Reconstruction Midface, Lefort Iii, (Extra/Intracranial), W/Bone Grafts, W/O Lefort I 21160 Reconstruction Midface, Lefort Iii, (Extra/Intracranial), W/Bone Grafts, W/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.