15152 prior authorization | Anthem Blue Cross Blue Shield of California

15152, Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 15152
Description: Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof
Source: California PPO Prior Authorization List, Pg 32 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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