Prior Auth Required

21196 - Surgical - Maxilofacial Reconstruction of mandibular rami and/or body, sagittal split; with

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - Maxilofacial Reconstruction of mandibular rami and/or body, sagittal split; with
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 7 - without internal rigid fixation Surgical - Maxilofacial 21196 Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation

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.