Prior Auth Required

21155 - Cosmetic Potential Reconstruction midface, LeFort III

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceCosmetic Potential Reconstruction midface, LeFort III
Procedure / Service Description

Equipment - Cosmetic Potential 21154 Reconstruction midface, LeFort III Cosmetic Potential 21155 Reconstruction midface, LeFort III Cosmetic Potential 21159 Reconstruction midface, LeFort III (extra and intracranial) with

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.