C5274 prior authorization | Anthem Blue Cross and Blue Shield Nevada
C5274, Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- C5274
- Description
- Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area
- Source
- Nevada Prior Authorization List, Pg 138 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization