Prior Auth Required

21206 - Surgical - Maxilofacial Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceSurgical - Maxilofacial Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 8 - Surgical - Maxilofacial 21206 Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)

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.