Prior Auth Required

21275 - Cosmetic Potential Secondary revision of orbitocraniofacial

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential Secondary revision of orbitocraniofacial
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 9 - Cosmetic Potential 21275 Secondary revision of orbitocraniofacial reconstruction

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.