Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter
HCPCS code
Name of the Procedure:
Common Name: Grafix Prime, GrafixPL Prime, Stravix, StravixPL
Technical/Medical Term: Q4133
Summary
Grafix Prime and related products involve the application of advanced wound care grafts derived from human placental tissues. The procedure is tailored for chronic and acute wounds and is performed per square centimeter of the affected area.
Purpose
These grafts are designed to treat non-healing wounds, such as diabetic foot ulcers, venous leg ulcers, pressure ulcers, and other types of chronic ulcers. The goal is to provide a scaffold for cellular growth critical for wound healing, reduce inflammation, and promote tissue regeneration.
Indications
- Chronic non-healing diabetic foot ulcers
- Venous leg ulcers
- Pressure ulcers
- Surgical wounds requiring advanced healing support
- Patients with a history of poor wound healing
Preparation
- Patients may need to undergo a wound assessment and imaging.
- Fasting or medication adjustments are typically not required.
- Pre-procedure wound cleaning and debridement may occur to prepare the area for graft application.
Procedure Description
- Wound Preparation: The healthcare professional will clean and debride the wound to remove non-viable tissue.
- Graft Application: The appropriate Grafix or Stravix product is measured and cut to fit the wound size.
- Placement: The graft is carefully applied to the wound bed.
Securing the Graft: The graft is secured with a secondary dressing to keep it in place and protect the wound.
Tools include sterile instruments for debridement and dressing materials. Local anesthesia may be used if debridement is necessary.
Duration
The procedure usually takes about 30-45 minutes, depending on the size and complexity of the wound.
Setting
The procedure can be performed in various settings including hospitals, outpatient clinics, or specialized wound care centers.
Personnel
- Wound care specialist or surgeon
- Nurses specialized in wound care
- Medical assistants for support
Risks and Complications
- Infection at the wound site
- Allergic reaction to the graft material
- Graft dislodgement or failure to integrate
Rare but possible systemic infections or severe inflammatory responses
Benefits
- Accelerated wound healing
- Reduced pain and discomfort associated with chronic wounds
- Improved tissue regeneration and decreased scar formation
- Positive outcomes generally observed within weeks of application
Recovery
- Patients are advised to keep the wound clean and dry.
- Follow-up appointments are necessary to monitor wound healing.
- Activity restrictions may apply to prevent disruption of the graft.
Alternatives
- Traditional wound dressings and bandages
- Negative pressure wound therapy (NPWT)
- Skin grafts or flaps
- Hyperbaric oxygen therapy
- Each alternative varies in effectiveness, cost, and required treatment duration.
Patient Experience
- The procedure is mostly pain-free, especially if local anesthesia is used.
- Patients may feel minor discomfort during wound debridement.
- Post-procedure pain is managed with over-the-counter pain relievers.
- Comfort measures include appropriate dressings and physical rest recommendations.
By understanding the steps, benefits, and potential risks associated with the Grafix Prime and Stravix procedures, patients can make informed decisions about their wound care options.