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CPT® 15278, Under Skin Substitute Grafts

The Current Procedural Terminology (CPT®) code 15278 as maintained by American Medical Association, is a medical procedural code under the range - Skin Substitute Grafts.

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Summary

The provider uses a skin substitute such as an allograft or xenograft to cover wounds on a patient’s face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to an additional 100 cm in a patient 10 years or older, or 1 percent of body area of infants and children under 10. He performs this add–on service for a wound 100 cm2 or larger at the same session that he covers the first 100 cm2 in patients 10 and older, or covers the first 1 percent of body area in patients under 10.

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Have a question about CPT Code 15278 ? Start a discussion here
Integumentary section
Poor kid. Based on the information you've provided, this is how I would code the report: [B]Face, Neck, Scalp, Hands & Feet (800 sq cm total): [/B]15277, 15278 x7, 15004, 15005 x7 [B]Trunk, Arms & Le... [ Read More ]
wound care in office during surgical global period
CPT 15271 - 15278 One of my physicians is wanting to start doing these codes. My question are these payable during a surgical global period IN THE OFFICE. I know that with other procedures during... [ Read More ]
Workers Comp OWCP related claim denials on modifiers used
I have several claims for skin grafts on a patient who is in a global period for placement of an autograft 15100-15121. As the patient has over 50% TBSA burns, he has multiple grafts and is going to ... [ Read More ]
Status Indicator
Good Morning I have a question regarding Status Indicators on Q4154 Biovance for hospital billing. It is my understanding that this is not separately payable but is part of a package with CPT 15272... [ Read More ]
Epifix Application and Debridements
Per CMS NCCI guidelines [I]"Debridement of a skin wound (e.g., CPT codes 11000, 11042-11047, 97597, 97598) prior to a graft/skin substitute is included in the skin graft/skin substitute procedure (CPT... [ Read More ]
billing 11042 with 15275
Debridement is inclusive and not separately reportable w/ skin grafting NCCI Manual III.I.2 [QUOTE]Debridement of a skin wound (e.g., CPT codes 11000, 11042-11047, 97597, 97598) prior to a graft/sk... [ Read More ]
Cpt code for amniotic graft toe
[b]Amniotic graft code[/b] An amniotic graft is a graft from a human and therefore the skin substitute graft codes (15271-15278) should be used based on location. This is based on information that th... [ Read More ]
Skin substitute graft application
Is it appropriate to bill 15271-15278 when applying Apligraf or Puraply with a Profore dressing or Unna boot and not directly fixated with steri strips or sutures? Per the CPT Introduction to Skin Rep... [ Read More ]
amniotic membrane for wound healing
Try looking at codes 15271-15278.... [ Read More ]
need help please
can you charge a surgical wound preparation code cpt 15002-15005 along with skin substitute graft codes cpt 15271-15278 on the same day ?... [ Read More ]
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Coding Alert(s)

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