15014 prior authorization | Anthem Blue Cross Blue Shield of California

15014, Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; each additional 25 sq cm of harvested skin or part thereof, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 15014
Description: Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; each additional 25 sq cm of harvested skin or part thereof
Source: California PPO Prior Authorization List, Pg 80 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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