Anthem Blue Cross and Blue Shield New Hampshire prior authorization 15271
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 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
- 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
- New Hampshire Precertification List, Pg 80 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization