15004 prior authorization | Anthem Blue Cross Blue Shield of Colorado

15004, Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutane, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 15004
Description: Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutane
Source: Colorado Prior Authorization List, Pg 6 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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