21154 prior authorization | Anthem Blue Cross Blue Shield of Georgia
21154, Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 21154
- Description
- Reconstruction midface, LeFort III (extracranial), any type, 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