Anthem Blue Cross and Blue Shield New Hampshire prior authorization 15272

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 15272: Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)

Code: 15272
Description: Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 3 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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