Prior Auth Required

21295 - Reduction of masseter muscle and bone 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 of masseter muscle and bone Prior Authorization Required Medical Necessity History and physical, documentation of
Procedure / Service Description

medical necessity and visual field - 21282 Lateral canthopexy Prior Authorization Required Cosmetic - Reconstructive History and Physical, documentation of medical necessity and visual field 21295 Reduction of masseter muscle and bone Prior Authorization Required Medical Necessity History and physical, documentation of (eg, for treatment of benign masseteric medical necessity, procedure report. hypertrophy); extraoral approach

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.