Prior Auth Required

21179 - Cosmetic Potential Reconstruction, entire or majority of forehead

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Reconstruction, entire or majority of forehead
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 7 - obtaining autografts) Cosmetic Potential 21179 Reconstruction, entire or majority of forehead and/or supraorbital rims

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.