Prior Auth Required

15260 - 15730 Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Service15730 Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)
Procedure / Service Description

Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, - Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less 15260 15730 Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) 15734 Muscle, myocutaneous, or fasciocutaneous flap; trunk

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