Prior Auth Required
21194 - Reconstruction, Mandibular Rami, Horizontal, Vertical, "C"/"L" Osteotomy; W/Bone Graft
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction, Mandibular Rami, Horizontal, Vertical, "C"/"L" Osteotomy; W/Bone Graft
Procedure / Service Description
Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 21188 Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts 21193 Reconstruction, Mandibular Rami, Horizontal, Vertical, "C"/"L" Osteotomy; W/O Bone Graft 21194 Reconstruction, Mandibular Rami, Horizontal, Vertical, "C"/"L" Osteotomy; W/Bone Graft 21195 Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation 21196 Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation
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.