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21255 - Autografts)

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceAutografts)
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 21247 Reconstruction, Mandibular Condyle W/Bone & Cartilage Autografts Reconstruction, Zygomatic Arch/Glenoid Fossa W/Bone & Cartilage (Includes Obtaining 21255 Autografts) 21256 Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts) 21270 Malar Augmentation, Prosthetic Matl

Likely documents
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  • Submit clinical notes if requested by the plan
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