Prior Auth Required

21183 - Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial

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Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm 21183 Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 40 sq cm but less than 80 sq cm

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