Anthem Blue Cross and Blue Shield Nevada prior authorization C5273

Anthem Blue Cross and Blue Shield Nevada prior authorization for C5273: Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of b

Code: C5273
Description: Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of b
Source: Nevada Prior Authorization List, Pg 138 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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