Prior Auth Required

21215 - Cosmetic Potential Graft, bone; mandible (includes obtaining graft)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Graft, bone; mandible (includes obtaining graft)
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 8 - obtaining graft) Cosmetic Potential 21215 Graft, bone; mandible (includes obtaining graft) Cosmetic Potential 21230 Graft; rib cartilage, autogenous, to face, chin, nose

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.