Prior Auth Required

21245 - Reconstruction of mandible or maxilla, subperiosteal implant; partial

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceReconstruction of mandible or maxilla, subperiosteal implant; partial
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 21243 Arthroplasty, temporomandibular joint, with prosthetic joint replacement 21244 Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) 21245 Reconstruction of mandible or maxilla, subperiosteal implant; partial 21246 Reconstruction of mandible or maxilla, subperiosteal implant; complete 21247 Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for

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