Prior Auth Required

21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceReconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 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 21249 Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete 21255 Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)

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.