Prior Auth Required

21179 - Reconstruction, Majority, Forehead & Supraorbital Rims; W/Grafts (Allograft/Prosthetic)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction, Majority, Forehead & Supraorbital Rims; W/Grafts (Allograft/Prosthetic)
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 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) 21180 Reconstruction, Majority, Forehead & Supraorbital Rims; W/Autograft Reconstruction, Orbit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40

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.