Can a porcine graft be billed with MOH's?

[SUN1633]

Hi,
Having some trouble getting 15275 (Porcine Graft) paid when done with MOh's. Is anyone having problems billing porcine grafts, or is anyone getting reimbursed for them? Under what circumstance are they being billed, or what documentation is needed to show Medical Necessity for billing one with Mohs?
thank you,

 

[ellzeycoding]

Many carriers have policies that limit coverage of xenograft products for burns and venous ulcers only. Or if the patient hasn't responded to normal healing.

For example:

https://www.unitedhealthcareonline.com/ccmcontent/ProviderII/UHC/en-US/Main%20Menu/Tools%20&%20Resources/Policies%20and%20Protocols/Medicare%20Advantage%20Policy%20Guidelines/Skin_Substitute_Application.pdf

https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=36377

 

[ellzeycoding]

Medicare's National Coverage Determination on porcine grafts

https://www.cms.gov/medicare-coverage-database/details/ncd-details.aspx?NCDId=139&ncdver=1&bc=AgAAQAAAAAAA&