Prior Auth Required

21490 - Open treatment of temporomandibular dislocation

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceOpen treatment of temporomandibular dislocation
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 21485 Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent 21490 Open treatment of temporomandibular dislocation 21497 Interdental wiring, for condition other than fracture 21740 Reconstructive repair of pectus excavatum or carinatum; open

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.