PA Lookup
Coverage

CPT 15271

Application of skin substitute graft to trunk, arms, legs or face/scalp/specialized areas in varying wound surface areas

Unverified

Molina · Medicaid · ALL

Yes — Prior Auth Required

Documents Needed

  • Clinical notes

Clinical Criteria

Molina Healthcare prior authorization required (Medicaid)

Source

Found in: Molina Healthcare Medicaid PA Lists (OH, SC, WA, TX, VA Combined)

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