Name of the Procedure:

Grafix Core and GrafixPL Core Application, HCPCS Code Q4132

Summary

Grafix Core and GrafixPL Core are advanced wound care treatments using cryopreserved placental membrane. These products are applied to wounds to promote healing through the natural regenerative properties of the placenta.

Purpose

The procedure is designed to treat chronic and acute wounds, such as diabetic ulcers, burns, and surgical wounds. The goals are to reduce healing time, minimize infection risks, and improve overall wound closure rates.

Indications

• Non-healing diabetic foot ulcers
• Venous leg ulcers
• Pressure ulcers
• Burns
• Post-surgical wounds that are not healing properly

Preparation

• Follow any dietary restrictions provided by the healthcare provider.
• Ensure the wound area is clean and free from debris.
• Inform the healthcare team about any medications or supplements being taken.

Procedure Description

1. The wound area is cleaned and debrided to remove non-viable tissue.
2. Grafix Core or GrafixPL Core is thawed and cut to the size of the wound.
3. The product is applied directly to the wound bed.
4. A secondary dressing is applied to secure the Grafix Core or GrafixPL Core in place.
5. The dressing is typically changed weekly, with re-evaluations performed at each visit.

Duration

The initial application usually takes about 30-60 minutes. Subsequent visits for dressing changes may take 15-30 minutes.

Setting

The procedure is typically performed in an outpatient clinic, but can also be done in a hospital setting if necessary.

Personnel

• Wound care specialist or general healthcare provider
• Nurses
• Medical assistants

Risks and Complications

• Infection
• Allergic reaction to the product
• Delayed healing
• Localized swelling or redness

Benefits

• Accelerated wound healing
• Reduced risk of infection
• Improved quality of life due to faster recovery
• May reduce the need for more invasive treatments

Recovery

• Keep the wound area clean and dry.
• Follow any activity restrictions as advised by the healthcare provider.
• Attend all scheduled follow-up appointments for dressing changes and wound assessments.
• Full recovery can vary depending on the size and type of wound but generally occurs within a few weeks to months.

Alternatives

• Traditional wound dressings (e.g., gauze, hydrocolloids)
• Negative pressure wound therapy
• Skin grafting
• Hyperbaric oxygen therapy

Patient Experience

Patients may experience mild discomfort during the debridement process and dressing changes. Pain management strategies, such as local anesthesia or analgesics, can help alleviate discomfort. Post-procedure, patients typically experience minimal pain, with improvements noted within the first few weeks of treatment.