21141 prior authorization | Blue Cross and Blue Shield of Montana
21141, Reconstruction Midface Lefort I; Single Piece Segment Movement In Any Direction (Eg For Long Face Syndrome) Without Bone Graft, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 21141
- Description
- Reconstruction Midface Lefort I; Single Piece Segment Movement In Any Direction (Eg For Long Face Syndrome) Without Bone Graft
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 9 Original policy