Prior Auth Required

15773 - ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate
Procedure / Service Description

Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, - 15771 and/or legs; 50 cc or less injectate Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, 15773 ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate 15775 Punch Graft, Hair Transplant; 1-15 Punch Grafts 15776 Punch Graft, Hair Transplant; > 15 Punch Grafts

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.