Prior Auth Required

21175 - Cosmetic Potential Reconstruction, bifrontal, superior-lateral orbital rims and lower

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Reconstruction, bifrontal, superior-lateral orbital rims and lower
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 7 - obtaining autografts) Cosmetic Potential 21175 Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly,

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.