Prior Auth Required

21299 - Unlisted craniofacial and maxillofacial Pre-Service Review Required Medical Necessity Submit Pre Operative Evaluation, History

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceUnlisted craniofacial and maxillofacial Pre-Service Review Required Medical Necessity Submit Pre Operative Evaluation, History
Procedure / Service Description

(eg, for treatment of benign masseteric medical necessity, procedure report. - (eg, for treatment of benign masseteric medical necessity, procedure report. hypertrophy); intraoral approach 21299 Unlisted craniofacial and maxillofacial Pre-Service Review Required Medical Necessity Submit Pre Operative Evaluation, History procedure and Physical, and Operative report. If dental fax to Dental Review @ 425-918-

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.