Prior Auth Required
21243 - Arthroplasty, Temporomandibular Joint, W/Prosthetic Joint Replacement
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceArthroplasty, Temporomandibular Joint, W/Prosthetic Joint Replacement
Procedure / Service Description
Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 21240 Arthroplasty, Temporomandibular Joint, W/Wo Autograft (Includes Obtaining Graft) 21242 Arthroplasty, Temporomandibular Joint, W/Allograft 21243 Arthroplasty, Temporomandibular Joint, W/Prosthetic Joint Replacement 21244 Reconstruction, Mandible, Extraoral, W/Transosteal Bone Plate 21245 Reconstruction, Mandible/Maxilla, Subperiosteal Implant; Partial
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.