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Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

HCPCS code

Medical Policies and Guidelines for Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

Related policies from health plans

Tissue Engineered Skin Substitutes - (0068)

Tissue Engineered Skin Substitutes - (0068)

Tissue Engineered Skin Substitutes - (0068)

Tissue Engineered Skin Substitutes - (0068)

Tissue Engineered Skin Substitutes - (0068)

Tissue Engineered Skin Substitutes - (0068)

Tissue Engineered Skin Substitutes - (0068)

Tissue Engineered Skin Substitutes - (0068)

Similar Codes

ICD10CM codes

T85.623A - Displacement of artificial skin graft and decellularized allodermis, initial encounter

T85.623 - Displacement of artificial skin graft and decellularized allodermis

T85.613A - Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter

T85.623D - Displacement of artificial skin graft and decellularized allodermis, subsequent encounter

T85.623S - Displacement of artificial skin graft and decellularized allodermis, sequela

T85.613D - Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter

T85.613 - Breakdown (mechanical) of artificial skin graft and decellularized allodermis

Z48.817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue

T86.820 - Skin graft (allograft) rejection

T86.82 - Complications of skin graft (allograft) (autograft)

HCPCS codes

C5271 - Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 1

C5272 - Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 1

C5273 - Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater

C5274 - Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater

C5275 - Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, ge

C5276 - Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, ge

Q4106 - Dermagraft, per square centimeter

D7910 - SUTURE OF RECENT SMALL WOUNDS UP TO 5 CM

C9363 - Skin substitute, integra meshed bilayer wound matrix, per square centimeter

Q4107 - Graftjacket, per square centimeter

CPT4 codes

15271 - Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm;

15272 - Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm;

15273 - Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or

15274 - Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or

15275 - Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,

15276 - Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,

15277 - Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,

15278 - Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,

15130 - Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and chil

15110 - Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and c