Prior Auth Required

15050 - digits; first 100 sq cm or less, or 1% of body area of infants and children (except )

This procedure appears on the selected insurer prior authorization source.

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Procedure / Servicedigits; first 100 sq cm or less, or 1% of body area of infants and children (except )
Procedure / Service Description

Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple - 14301 Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple 15120 digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, 15240 genitalia, hands, and/or feet; 20 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.