Prior Auth Required

21256 - Reconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction, Orbit W/Osteotomies & Bone Grafts (Includes Obtaining Autografts)
Procedure / Service Description

Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) - 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 21275 Secondary Revision, Orbitocraniofacial Reconstruction

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.