Prior Auth Required

21160 - Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 21159 Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I 21160 Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I 21172 Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without

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.