Prior Auth Required

21240 - Arthroplasty, temporomandibular joint, with Pre-Service Review Required Medical Necessity Submit diagnosis, prognosis and chart

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceArthroplasty, temporomandibular joint, with Pre-Service Review Required Medical Necessity Submit diagnosis, prognosis and chart
Procedure / Service Description

documentation of medical necessity and - procedure report. 21240 Arthroplasty, temporomandibular joint, with Pre-Service Review Required Medical Necessity Submit diagnosis, prognosis and chart or without autograft (includes obtaining notes including history of non-invasive or graft) non-surgical attempts to treat the TMJ.

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.