Prior Auth Required

21195 - Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceReconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 21194 Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft) 21195 Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation 21196 Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation 21198 Osteotomy, mandible, segmental;

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