Prior Auth Required
21081 - TMJ related services and TMJ surgery , , , , , , , , , , , , , , , , , All
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceTMJ related services and TMJ surgery , , , , , , , , , , , , , , , , , All
Procedure / Service Description
Medical Dental (accidental, injury, before jaw surgery) Several CPT codes All - D9999 (unspecified adjunctive procedure) Medical Dental (accidental, injury, before jaw surgery) Several CPT codes All TMJ related services and TMJ surgery 21073, 21079, 21080, 21081, 21085, 21110, 21480, 21485, 21497, 21010, 21025, 21026, 21050, 21490, 21060, 21240, 21242, All 21243, 21255, 29804, 29800, D7880, D7899 Mandibular Ortho Repositioning device 21499, 21089 All
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.