Prior Auth Required

21280 - Medial canthopexy (separate procedure) Prior Authorization Required Cosmetic - Reconstructive History and Physical, documentation of

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceMedial canthopexy (separate procedure) Prior Authorization Required Cosmetic - Reconstructive History and Physical, documentation of
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - orthodontic treatment. Fax to Dental Review @ 425-918-5956 21280 Medial canthopexy (separate procedure) Prior Authorization Required Cosmetic - Reconstructive History and Physical, documentation of medical necessity and visual field 21282 Lateral canthopexy Prior Authorization Required Cosmetic - Reconstructive History and Physical, documentation of

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.