Prior Auth Required

21247 - Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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 hemifacial microsomia) 21248 Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

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.