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Dermagraft, per square centimeter

HCPCS code

Medical Policies and Guidelines for Dermagraft, per square centimeter

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Similar Codes


ICD10CM codes

T85.623 - Displacement of artificial skin graft and decellularized allodermis
T85.613 - Breakdown (mechanical) of artificial skin graft and decellularized allodermis
T85.623A - Displacement of artificial skin graft and decellularized allodermis, initial encounter
T86.820 - Skin graft (allograft) rejection
T85.613A - Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter
T85.613D - Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter
T86.82 - Complications of skin graft (allograft) (autograft)
T85.623D - Displacement of artificial skin graft and decellularized allodermis, subsequent encounter
T85.623S - Displacement of artificial skin graft and decellularized allodermis, sequela
T85.693 - Other mechanical complication of artificial skin graft and decellularized allodermis

HCPCS codes

Q4106 - Dermagraft, per square centimeter
Q4116 - Alloderm, per square centimeter
Q4107 - Graftjacket, per square centimeter
Q4126 - Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
Q4136 - Ez-derm, per square centimeter
Q4101 - Apligraf, per square centimeter
Q4121 - Theraskin, per square centimeter
Q4117 - Hyalomatrix, per square centimeter
Q4163 - Woundex, bioskin, per square centimeter
Q4122 - Dermacell, dermacell awm or dermacell awm porous, per square centimeter

CPT4 codes

15040 - Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
11045 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 s
11042 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or le
15131 - Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area o
15155 - Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, f
15135 - Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or mu
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
15111 - Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body are
11044 - Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if perform