21247 prior authorization | Anthem Blue Cross Blue Shield of Georgia
21247, Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 21247
- Description
- Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)
- Source
- Standard Local Prior Authorization Code List, Pg 97 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization