Prior Auth Required

21247 - Cosmetic Potential Reconstruction of mandibular condyle with bone

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Reconstruction of mandibular condyle with bone
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 8 - subperiosteal implant; complete Cosmetic Potential 21247 Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for

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.