Prior Auth Required

15221 - Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceFull thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - and/or feet; defect 10.1 sq cm to 30.0 sq cm 15220 Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less 15221 Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure) 15734 Muscle, myocutaneous, or fasciocutaneous flap; trunk

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.