Prior Auth Required

21210 - Cosmetic Potential Graft, bone; nasal, maxillary or malar areas (includes

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Graft, bone; nasal, maxillary or malar areas (includes
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 8 - Cosmetic Potential 21209 Osteoplasty, facial bones; reduction Cosmetic Potential 21210 Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)

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.