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Apligraf, per square centimeter

HCPCS code

Medical Policies and Guidelines for Apligraf, per square centimeter

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Similar Codes


ICD10CM codes

T85.623 - Displacement of artificial skin graft and decellularized allodermis
T85.623A - Displacement of artificial skin graft and decellularized allodermis, initial encounter
T85.613 - Breakdown (mechanical) 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
T86.820 - Skin graft (allograft) rejection
T85.623S - Displacement of artificial skin graft and decellularized allodermis, sequela
T85.613D - Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter
T85.693 - Other mechanical complication of artificial skin graft and decellularized allodermis
Z52.11 - Skin donor, autologous

HCPCS codes

Q4101 - Apligraf, per square centimeter
Q4116 - Alloderm, per square centimeter
Q4117 - Hyalomatrix, per square centimeter
Q4106 - Dermagraft, per square centimeter
Q4107 - Graftjacket, per square centimeter
Q4195 - Puraply, per square centimeter
Q4121 - Theraskin, per square centimeter
Q4196 - Puraply am, per square centimeter
Q4110 - Primatrix, per square centimeter
Q4126 - Memoderm, dermaspan, tranzgraft or integuply, per square centimeter

CPT4 codes

15040 - Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
15155 - Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, f
15271 - Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm;
11954 - Subcutaneous injection of filling material (eg, collagen); over 10.0 cc
15110 - Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and c
15273 - Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or
15121 - Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
15275 - Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,
15272 - Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm;
15130 - Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and chil