Prior Auth Required

21123 - Genioplasty; sliding, augmentation with Possible Denial; Medical Records Cosmetic Submit cephalometric, panoramic films

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceGenioplasty; sliding, augmentation with Possible Denial; Medical Records Cosmetic Submit cephalometric, panoramic films
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - wedge reversal for asymmetrical chin) orthodontic treatment. Fax to Dental Review @ 425-918-5956 21123 Genioplasty; sliding, augmentation with Possible Denial; Medical Records Cosmetic Submit cephalometric, panoramic films interpositional bone grafts (includes Optional and photos, age and history of obtaining autografts) 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.