0479T* prior authorization | Cigna

0479T*, Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children, is on the Cigna prior authorization list. Not a coverage or referral decision.

Code: 0479T*
Description: Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof, or 1% of body surface area of infants and children
Source: Master Precertification List For Health Care Providers, Pg 6 Original policy

Cigna prior authorization

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