15272 prior authorization | Anthem Blue Cross Blue Shield of California
15272, Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 15272
- Description
- Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof
- Source
- California PPO Prior Authorization List, Pg 32 Original policy
Anthem Blue Cross Blue Shield of California prior authorization