Prior Auth Required

21209 - Osteoplasty, facial bones; reduction Pre-Service Review Required Medical Necessity Submit cephalometric, panoramic films

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceOsteoplasty, facial bones; reduction Pre-Service Review Required Medical Necessity Submit cephalometric, panoramic films
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - orthodontic treatment. Fax to Dental Review @ 425-918-5956 21209 Osteoplasty, facial bones; reduction Pre-Service Review Required Medical Necessity Submit cephalometric, panoramic films and photos, age and history of 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.