Prior Auth Required

21172 - Cosmetic Potential Reconstruction superior-lateral orbital rim and lower forehead

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Reconstruction superior-lateral orbital rim and lower forehead
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 7 - Cosmetic Potential 21172 Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes

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.