Prior Auth Required

21196 - Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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; 21199 Osteotomy, mandible, segmental; with genioglossus advancement

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.