15271 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
15271, Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 15271
- Description
- Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
- Source
- New Hampshire Precertification List, Pg 80 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization