15015 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

15015, Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 15015
Description: Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less
Source: New Hampshire Precertification List, Pg 80 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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