Blue Cross and Blue Shield of Montana prior authorization G0682
Blue Cross and Blue Shield of Montana prior authorization for G0682: Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non- sheet form skin substitute for a wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, part thereof (list separately in addition to code for primary procedure)
- Code
- G0682
- Description
- Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non- sheet form skin substitute for a wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, part thereof (list separately in addition to code for primary procedure)
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 266 Original policy