Prior Auth Required

21172 - Reconstruction Superior-Lateral Orbital Rim & Lower Forehead

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction Superior-Lateral Orbital Rim & Lower Forehead
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 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 21172 Reconstruction Superior-Lateral Orbital Rim & Lower Forehead 21175 Reconstruction, Bifrontal,Superior-Lateral Orbital Rims & Lower Forehead 21179 Reconstruction, Majority, Forehead & Supraorbital Rims; W/Grafts (Allograft/Prosthetic)

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.