15271 prior authorization | Anthem Blue Cross and Blue Shield Virginia

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 Virginia HMO/EPO 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: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 11 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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