Anthem Blue Cross Blue Shield of Georgia prior authorization 21159
Anthem Blue Cross Blue Shield of Georgia prior authorization for 21159: Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I
- Code
- 21159
- Description
- Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I
- Source
- Standard Local Prior Authorization Code List, Pg 96 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization