15771 prior authorization | Anthem Blue Cross Blue Shield of Colorado

15771, Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 15771
Description: Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate
Source: Colorado Prior Authorization List, Pg 7 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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