Anthem Blue Cross and Blue Shield New Hampshire prior authorization 15152

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 15152: Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Code: 15152
Description: Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 2 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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