PA Lookup

Enter a CPT code, procedure name, insurance payer, and/or state

CPT 15157

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

Unverified

Molina · ALL

Yes — Prior Auth Required

Documents Needed

  • •Clinical notes

Clinical Criteria

Molina Healthcare prior authorization required (Medicaid)

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