Prior Auth Required

15150 - Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceTissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less
Procedure / Service Description

Adjacent Tissue Transfer, - 14060 Adjacent Tissue Transfer/Rearrangement, Eyelids/Nose/Ears/Lips; Defect 10 Sq Cm/< 14061 Adjacent Tissue Transfer/Rearrangement, Eyelids/Nose/Ears/Lips; Defect 10.1-30.0 Sq Cm 15150 Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, 15155 feet, and/or multiple digits; first 25 sq cm or less

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.