Prior Auth Required

15772 - Grafting of autologous fat harvested by Possible Denial; Medical Records Cosmetic Submit history and physical

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGrafting of autologous fat harvested by Possible Denial; Medical Records Cosmetic Submit history and physical
Procedure / Service Description

liposuction technique to trunk, breasts, Optional documentation of medical necessity and - scalp, arms, and/or legs; 50 cc or less procedure report. injectate 15772 Grafting of autologous fat harvested by Possible Denial; Medical Records Cosmetic Submit history and physical, liposuction technique to trunk, breasts, Optional documentation of medical necessity and scalp, arms, and/or legs; each additional procedure report.

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.