Prior Auth Required

21296 - Cosmetic Potential REVISN JAW MUSCLE/BONE,INTRAORAL

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCosmetic Potential REVISN JAW MUSCLE/BONE,INTRAORAL
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 9 - Cosmetic Potential 21295 REVISN JAW MUSCLE/BONE,EXTRAORAL Cosmetic Potential 21296 REVISN JAW MUSCLE/BONE,INTRAORAL Cosmetic Potential 21299 CRANIO/MAXILLOFACIAL SURG UNLISTED

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.