Prior Auth Required

21122 - Genioplasty; sliding osteotomies, 2 or more Possible Denial; Medical Records Cosmetic Submit cephalometric, panoramic films

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Procedure / ServiceGenioplasty; sliding osteotomies, 2 or more Possible Denial; Medical Records Cosmetic Submit cephalometric, panoramic films
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 21122 Genioplasty; sliding osteotomies, 2 or more Possible Denial; Medical Records Cosmetic Submit cephalometric, panoramic films osteotomies (eg, wedge excision or bone Optional and photos, age and history of wedge reversal for asymmetrical chin) orthodontic treatment. Fax to Dental

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.