Prior Auth Required

21141 - Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face
Procedure / Service Description

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 Syndrome), without bone graft 21142 Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft

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.