C5272 prior authorization | Anthem Blue Cross and Blue Shield Nevada
C5272, Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (lis, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- C5272
- Description
- Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (lis
- Source
- Nevada Prior Authorization List, Pg 138 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization