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Memoderm, dermaspan, tranzgraft or integuply, per square centimeter

HCPCS code

Medical Policies and Guidelines for Memoderm, dermaspan, tranzgraft or integuply, per square centimeter

Related policies from health plans

Bioengineered Skin and Soft Tissue Substitutes (CG030)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)
Skin and Tissue Substitutes - Medicare Advantage

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
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
T85.623D - Displacement of artificial skin graft and decellularized allodermis, subsequent encounter
T85.623S - Displacement of artificial skin graft and decellularized allodermis, sequela
T85.613S - Breakdown (mechanical) of artificial skin graft and decellularized allodermis, sequela
L76.33 - Postprocedural seroma of skin and subcutaneous tissue following a dermatologic procedure
Z48.817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue

HCPCS codes

Q4126 - Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
Q4106 - Dermagraft, per square centimeter
Q4116 - Alloderm, per square centimeter
C9363 - Skin substitute, integra meshed bilayer wound matrix, per square centimeter
Q4121 - Theraskin, per square centimeter
Q4122 - Dermacell, dermacell awm or dermacell awm porous, per square centimeter
Q4101 - Apligraf, per square centimeter
Q4136 - Ez-derm, per square centimeter
Q4117 - Hyalomatrix, per square centimeter
Q4108 - Integra matrix, per square centimeter

CPT4 codes

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
11046 - Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed
15130 - Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and chil
11043 - Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed
15040 - Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
11044 - Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if perform
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
15110 - Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and c