Prior Auth Required

15220 - Bioengineered Wound FULL THICK GRFT FREE W/DIR CLSR SCALP,ARMS,LEGS 20 CM/<

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceBioengineered Wound FULL THICK GRFT FREE W/DIR CLSR SCALP,ARMS,LEGS 20 CM/<
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 1 - children, or part thereof Bioengineered Wound 15220 FULL THICK GRFT FREE W/DIR CLSR SCALP,ARMS,LEGS 20 CM/< Healing

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.