Prior Auth Required

21127 - Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining

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Procedure / ServiceAugmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 21125 Augmentation, mandibular body or angle; prosthetic material Code NAME/DESCRIPTION COMMENTS 21127 Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) 21141 Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face

Likely documents
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  • Submit clinical notes if requested by the plan
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  • Use the insurer authorization workflow for this listed code.