Cigna prior authorization 15274*

Cigna prior authorization for 15274*: Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof

Code: 15274*
Description: Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof
Source: Master Precertification List For Health Care Providers, Pg 18 Original policy

Cigna prior authorization

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