Prior Auth Required

15277 - cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicecm; first 100 sq cm wound surface area, or 1% of body area of infants and children
Procedure / Service Description

Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, - Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq 15277 cm; first 100 sq cm wound surface area, or 1% of body area of infants and children 15756 Free muscle or myocutaneous flap with microvascular anastomosis Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms,

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.