Full-Thickness Skin Graft (Nose/Ear/Eyelid)
What is this procedure?
Full-thickness skin graft to the nose, ears, eyelids, or lips to repair defects from skin cancer excision (Mohs surgery), trauma, or reconstructive surgery. The graft involves transplanting the full thickness of skin from a donor site to cover a wound that cannot heal by secondary intention or primary closure.
Does this require prior authorization?
Medical Necessity Tips
What clinical evidence supports approval
- Document underlying medical cause requiring graft (cancer excision, trauma)
- Include pathology report if cancer-related reconstruction
- Photographs of defect demonstrating functional impairment
- Mohs surgery report documenting defect size and location
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What to Do If Denied
If your full-thickness skin graft (nose/ear/eyelid) is denied, you have the right to appeal. Most denials are overturned on appeal when proper documentation is provided.
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