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Theraskin, per square centimeter

HCPCS code

Theraskin, Per Square Centimeter (Q4121)

Name of the Procedure:

Common name: Theraskin Application
Technical/Medical term: Theraskin Allograft Application

Summary

Theraskin is a type of skin graft made from human donor skin, used to treat various types of wounds and skin defects. The procedure involves applying this graft to the affected area to promote healing.

Purpose

Theraskin is primarily used to treat non-healing wounds, such as diabetic ulcers, venous ulcers, and pressure sores. The goal is to enhance wound healing and restore the integrity of the skin.

Indications

  • Chronic non-healing wounds
  • Diabetic foot ulcers
  • Venous stasis ulcers
  • Pressure ulcers
  • Partial and full-thickness wounds

Preparation

  • Follow pre-procedure fasting guidelines, if applicable.
  • Adjust medications as directed by your healthcare provider.
  • Undergo necessary diagnostic tests such as blood work or wound assessment.

Procedure Description

  1. Wound preparation: The affected area is cleaned and debrided to remove any dead tissue.
  2. Theraskin application: The allograft is measured and cut to fit the wound.
  3. Placement: The Theraskin graft is carefully placed on the wound.
  4. Securement: The graft is secured using surgical dressings or other fixation methods.
  5. Monitoring: The wound and graft are monitored for proper integration and healing.

Tools and Equipment:

  • Sterile surgical instruments
  • Theraskin graft
  • Dressings and bandages

Anesthesia:

  • Local anesthesia may be applied to minimize discomfort during the procedure.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the size and complexity of the wound.

Setting

Theraskin application can be performed in a hospital, outpatient clinic, or wound care center.

Personnel

  • Wound care specialist or surgeon
  • Nurse or medical assistant
  • Anesthesiologist (if anesthesia is required)

Risks and Complications

  • Infection
  • Graft rejection or failure
  • Allergic reaction to graft materials
  • Delayed wound healing
  • Bleeding or pain

Benefits

  • Promotes faster and effective wound healing
  • Reduces pain and discomfort associated with chronic wounds
  • May improve overall quality of life by enhancing mobility and reducing infection risks

Recovery

  • Follow post-procedure care instructions, including wound cleaning and dressing changes.
  • Attend follow-up appointments for wound assessment and monitoring.
  • Recovery time varies but generally ranges from a few weeks to several months, depending on the wound’s severity and healing response.

Alternatives

  • Autografts (using the patient’s own skin)
  • Other types of allografts or xenografts
  • Advanced wound care treatments such as hyperbaric oxygen therapy
  • Pros and Cons: Autografts require a secondary surgical site and longer recovery, while advanced treatments might be more costly and less accessible.

Patient Experience

During the procedure, patients might feel mild discomfort or pressure. Post-procedure, patients might experience some discomfort or minor pain, which can be managed with prescribed pain medications and proper wound care.

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