Anthem Blue Cross Blue Shield of California prior authorization 1047T

Anthem Blue Cross Blue Shield of California prior authorization for 1047T: Autologous heterogeneous skin-construct graft application, trunk, arms, legs; each additional 50 sq cm, or each additional 0.5% of body area of infants and children, or part thereof

Code: 1047T
Description: Autologous heterogeneous skin-construct graft application, trunk, arms, legs; each additional 50 sq cm, or each additional 0.5% of body area of infants and children, or part thereof
Source: California PPO Prior Authorization List, Pg 18 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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