Prior Auth Required

15274 - each additional 100 sq cm wound surface area, or part thereof, or each additional

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceeach additional 100 sq cm wound surface area, or part thereof, or each additional
Procedure / Service Description

Code Description - greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children 15274 each additional 100 sq cm wound surface area, or part thereof, or each additional 1% body area of infants and children, or part thereof 15275 Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits,

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.