Topic

StrataGraft (allogeneic cultured keratinocytes & fibroblasts in murine collagen-dsat)

A collection of 16 issues

Myths vs. Facts: Getting StrataGraft Covered by Blue Cross Blue Shield in Texas (2025 Guide)

Quick Answer: StrataGraft Coverage Through BCBS Texas Getting StrataGraft approved by Blue Cross Blue Shield of Texas requires facility-based medical billing (not pharmacy), thorough burn documentation, and often prior authorization. The fastest path: have your burn surgeon submit detailed medical necessity documentation showing why autografting isn't suitable, use

Myths vs. Facts: Getting StrataGraft Covered by Aetna (CVS Health) in Michigan - Prior Authorization Guide

Answer Box: StrataGraft Coverage by Aetna (CVS Health) in Michigan Eligibility: Adults 18+ with deep partial-thickness thermal burns requiring surgical intervention when autograft isn't available or feasible. Fastest path: Submit prior authorization via Aetna provider portal using HCPCS code J7353 with complete wound documentation, burn depth assessment, and

How to Get StrataGraft Covered by Humana in New Jersey: Prior Authorization Guide and Appeals Process

Answer Box: Quick Path to StrataGraft Coverage StrataGraft requires prior authorization from Humana Medicare Advantage plans in New Jersey for adults with deep partial-thickness thermal burns. Key steps: 1) Confirm diagnosis with ICD-10 codes T21-T31, 2) Submit PA request via Humana provider portal using HCPCS J7353 with wound measurements and

StrataGraft Coverage by Humana in Virginia: Prior Authorization Guide, Appeals, and Decision Tree

Answer Box: StrataGraft Coverage by Humana in Virginia StrataGraft requires prior authorization under Humana Medicare Advantage plans in Virginia. For adults with deep partial-thickness thermal burns, approval typically takes 15 business days when properly documented. First step today: Have your burn center submit a PA request through Humana's

Myths vs. Facts: Getting StrataGraft Covered by Cigna in Washington (Appeals Guide & Documentation Tips)

Answer Box: Getting StrataGraft Covered by Cigna in Washington StrataGraft requires prior authorization from Cigna and is only covered for FDA-approved deep partial-thickness thermal burns in adults. Common myths include believing all doctor prescriptions are automatically covered and that pharmacy billing is correct. Reality: You need detailed burn documentation, proper

How to Get StrataGraft Covered by Humana in Illinois: Coding, Appeals & Prior Authorization Guide

Answer Box: StrataGraft requires prior authorization from Humana Medicare Advantage in Illinois, billed as medical benefit using HCPCS J7353. Submit PA request with ICD-10 burn codes (T21-T31), wound measurements, and clinical documentation. If denied, file internal appeal within 60 days, then Illinois external review within 4 months. Start today: gather