15151 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
15151, Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 15151
- Description
- Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)
- Source
- New Hampshire Precertification List, Pg 2 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization