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We have patient with wrap around leg wounds over 1400sq cm. From our understanding, we have been told not to go over 300sq cm in wound treatment per day for Medicare. I can not find MUEs published on the skin graft codes we use. In particular, our main one is Q4271. Can anyone share any insight on this, and if there is an MUE, can we can call Medicare ahead of time to review the case, or can we appeal afterwards for the additional units to be paid.