Prior Auth Required

21245 - Cosmetic Potential Reconstruction of mandible or maxilla

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Reconstruction of mandible or maxilla
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 8 - (eg, mandibular staple bone plate) Cosmetic Potential 21245 Reconstruction of mandible or maxilla, subperiosteal implant; partial

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.