Anthem Blue Cross and Blue Shield New Hampshire prior authorization 15273

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 15273: Application of 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 body area of infants and children

Code: 15273
Description: Application of 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 body area of infants and children
Source: New Hampshire Precertification List, Pg 80 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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