PA Lookup
Coverage

CPT 15157

Tissue cultured skin autograft for trunk, arms, legs or face/scalp/specialized areas in varying sizes

Unverified

Cigna · Commercial · ALL

Yes — Prior Auth Required

Documents Needed

  • Clinical notes

Clinical Criteria

Tissue cultured skin autograft for trunk, arms, legs or face/scalp/specialized areas in varying sizes

Source

Found in: Cigna Prior Authorization List

Is this correct?