15013 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
15013, Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 15013
- Description
- Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin
- Source
- New Hampshire Precertification List, Pg 79 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization