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21195 - Reconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation

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Procedure / ServiceReconstruction, Mandibular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 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 21198 Osteotomy, Mandible, Segmental

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  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Use the insurer authorization workflow for this listed code.