Q4427 prior authorization | Blue Shield of California Promise Health Plan

Q4427, DermaBind DL N, DermaBind DL +, or DermaBind DL X, per sq cm (add-on, list separately in addition to primary procedure), is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.

Code: Q4427
Description: DermaBind DL N, DermaBind DL +, or DermaBind DL X, per sq cm (add-on, list separately in addition to primary procedure)
Source: Medi-Cal Prior Authorization List, Pg 42 Original policy

Blue Shield of California Promise Health Plan prior authorization

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