Anthem Blue Cross Blue Shield of California prior authorization 15772

Anthem Blue Cross Blue Shield of California prior authorization for 15772: Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof

Code: 15772
Description: Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof
Source: California PPO Prior Authorization List, Pg 80 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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