Prior Auth Required

21150 - functional impairment

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicefunctional impairment
Procedure / Service Description

services at 800-310-6826. - Orthognathic surgery Prior authorization required 21121 21123 21125 21127 Treatment of maxillofacial/jaw 21141 21142 21143 21145 functional impairment 21146 21147 21150 21151

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.