Prior Auth Required

21188 - PR RECONST NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePR RECONST NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023
Procedure / Service Description

40-80 SQ CM NECESSITY - SOETH,GRFT SUPPORT MEDICAL 40-80 SQ CM NECESSITY 21188 PR RECONST NO AUTHORIZATION REQUIRED CLINICAL INFORMATION C, S, SK CP 6/1/2023 MIDFACE AND DOCUMENTS TO SUPPORT MEDICAL

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.