Prior Auth Required

21198 - With Osteotomy Segmental All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceWith Osteotomy Segmental All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Lefort II 21150, 21151 All Orthognathic Surgery / Mandible Reconstruction 21193, 21194, 21195, 21196 All With Osteotomy Segmental 21198 All With Transosteal Bone Plate 21244 All Subperiosteal Implant 21245, 21246 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.