1046T prior authorization | Anthem Blue Cross Blue Shield of California
1046T, Autologous heterogeneous skin-construct graft application, trunk, arms, legs; first 50 sq cm or less, or 0.5% of body area of infants and children, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 1046T
- Description
- Autologous heterogeneous skin-construct graft application, trunk, arms, legs; first 50 sq cm or less, or 0.5% of body area of infants and children
- Source
- California PPO Prior Authorization List, Pg 18 Original policy
Anthem Blue Cross Blue Shield of California prior authorization