Prior Auth Required

21137 - Reduction forehead; contouring only Prior Authorization Required Medical Necessity History and Physical, documentation of

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceReduction forehead; contouring only Prior Authorization Required Medical Necessity History and Physical, documentation of
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - (includes obtaining autograft) orthodontic treatment. Fax to Dental Review @ 425-918-5956 21137 Reduction forehead; contouring only Prior Authorization Required Medical Necessity History and Physical, documentation of medical necessity and previous stages of reconstruction if done

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.