15271 prior authorization | Blue Cross and Blue Shield of Montana
15271, Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 15271
- Description
- Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 2 Original policy