Prior Auth Required

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

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Reconstruction midface, LeFort III (extra and intracranial) with
Procedure / Service Description

Equipment - Cosmetic Potential 21155 Reconstruction midface, LeFort III Cosmetic Potential 21159 Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts

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.