Wiki High and Low Cost Skin Substitutes

[loubug50@yahoo.com]

How should "application of skin substitute" be billed on the PB side for Low Cost Skin Substitute. I am getting a denial for C5271 from Medicare. The Claim was paid on the HB side.

 

[glcornett]

C5271 only applies for facility billing. For the physician, bill 15271 for either high or low cost skin substitute on the trunk, arms, or legs, first 25 sq cm.