15121 (487918) SELECTION (357.3)
Name
Value
SELECTION ID
15121
SELECTION LIST
CPT CODES
SELECTION GROUP
SKIN GRAFT/AUTOGRAFT
PRINT ORDER WITHIN GROUP
13
QUANTITY
1
SUBCOLUMN VALUE
SUBCOLUMN NUMBER: 2
15121
SUBCOLUMN NUMBER: 3
Splt-Thickness,Face/Sclp/Orbti/Extrem/Genitals;Ea Addl 100 sq cm