Anthem Blue Cross Blue Shield of California prior authorization 15273

Anthem Blue Cross Blue Shield of California 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: California PPO Prior Authorization List, Pg 33 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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