14.2.7.3 Cleft/Craniofacial Surgery by a Dentist PhysicianRefer to: Section 2.1.6.1, "Requirements for Cleft/Craniofacial (C/C) Team Enrollment" and Section 30.2.35.11, "Cleft/Craniofacial Procedures" for more information. All of the following cleft/craniofacial surgery procedures must be prior authorized. Documentation of medical necessity must be submitted with the prior authorization request if the surgical procedure is to be performed for reasons unrelated to the repair or reconstruction of cleft lip, cleft palate, or craniofacial anomalies.
The following table includes procedure codes that are denied as part of another procedure code when billed on the same date of service by the same provider:
|
|
Texas Medicaid & Healthcare Partnership CPT only copyright 2009 American Medical Association. All rights reserved. |
|
|