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Woundex, bioskin, per square centimeter

HCPCS code

Name of the Procedure:

Common Name(s): Woundex, BioSkin Technical/Medical Term: Application of Woundex, BioSkin per square centimeter

Summary

Woundex, also known as BioSkin, is a specialized biosynthetic skin graft used for wound care. It involves the application of a synthetic skin substitute that helps rapidly cover and heal wounds. This procedure is often used for burns, ulcers, and other types of skin injuries to promote faster healing and reduce the risk of infection.

Purpose

The main purpose of applying Woundex, BioSkin is to assist in the healing process of various skin wounds. It is particularly effective in:

  • Promoting faster wound healing
  • Reducing the risk of infection
  • Minimizing scarring

Indications

This procedure is appropriate for patients with:

  • Burn injuries
  • Diabetic foot ulcers
  • Pressure ulcers (bedsores)
  • Venous leg ulcers
  • Traumatic skin injuries

Preparation

  • The wound area should be cleaned thoroughly before the procedure.
  • Any necrotic tissue should be debrided (removed).
  • Patients may need to adjust their medication regimen, particularly if they are on blood thinners.
  • No fasting is generally required.

Procedure Description

  1. Cleaning: The wound area is cleaned and disinfected.
  2. Debridement: Any dead tissue is removed.
  3. Application: Woundex, BioSkin is cut to fit the size of the wound and then carefully applied.
  4. Securing: The graft is secured using medical tape, bandages, or other dressing materials.
  5. Monitoring: The graft is monitored for adherence and healing over time.

Tools/Equipment:

  • Cleaning and disinfecting solutions
  • Sterile scissors or a scalpel for debridement
  • Woundex, BioSkin graft material
  • Sterile dressing materials

Anesthesia/Sedation:

  • Usually, local anesthesia is applied to reduce pain at the site of the application.

Duration

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

Setting

Woundex, BioSkin application can be performed in various settings, including:

  • Outpatient clinics
  • Hospitals
  • Specialized wound care centers

Personnel

  • Wound Care Specialist or Surgeon
  • Nursing staff
  • Anesthesiologist (if local anesthesia is required)

Risks and Complications

Common Risks:

  • Mild pain or discomfort
  • Redness at the application site

Rare Risks:

  • Infection
  • Allergic reaction to the graft material
  • Graft rejection or failure

Management:

  • Follow-up appointments to monitor the wound and graft
  • Antibiotics if an infection develops

Benefits

  • Accelerates the healing process
  • Reduces the risk of infection and complications
  • Minimizes scarring
  • Improves patient comfort and mobility

Recovery

Post-Procedure Care:

  • Keep the area clean and dry.
  • Regularly change dressings as instructed.
  • Avoid strenuous activity that might disturb the graft.

Expected Recovery Time:

  • Most patients see significant improvement within 2 to 4 weeks.

Follow-Up:

  • Regular check-ups to monitor healing progress
  • Additional applications may be necessary for larger or more complicated wounds.

Alternatives

  • Traditional skin grafting
  • Hyperbaric oxygen therapy
  • Negative pressure wound therapy (wound vac)

Pros and Cons:

  • Traditional skin grafting may require more extensive surgery and longer recovery.
  • Hyperbaric oxygen therapy can be time-consuming and less effective for extensive wounds.
  • Negative pressure wound therapy is effective but may not be suitable for all types of wounds.

Patient Experience

During Procedure:

  • Some discomfort or mild pain, usually managed with local anesthesia.

After Procedure:

  • Mild pain or itching at the graft site.
  • Reduced activity level for effective healing.
  • Pain management with prescribed medications.

Overall, patients can expect an improved healing environment, reduced risk of infection, and quicker recovery with the use of Woundex, BioSkin.

Medical Policies and Guidelines for Woundex, bioskin, per square centimeter

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