Prior Auth Required

15155 - feet, and/or multiple digits; first 25 sq cm or less

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicefeet, and/or multiple digits; first 25 sq cm or less
Procedure / Service Description

Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, - 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 Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq 15271 cm; first 25 sq cm or less wound surface area

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.