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Seprafilm - Is it seperately reportable?

  1. #1
    Default Seprafilm - Is it seperately reportable?
    Medical Coding Books
    I have surgeons who are placing seprafilm during open abdominal & pelvic surgeries. The purpose is to prevent adhesions from attaching to your organs. Does anyone know if this is seperately reportable? If so what CPT code is used? This procudure only takes about 5-10 minutes to place the film. I don't believe that this is seperately reportable but I wanted to see if anyone else out there is billing for it.

  2. Question seprafilm
    Hi! Did you get a cpt code for application of seprafilm? I am searching myself for the answer. Thanks!

  3. Question Seprafilm - is it billable?
    Has anyone determined whether seprafilm application can be separately reported? And if so, what CPT code would you use?

  4. #4
    No you can not bill for the seprafilm it is part of the surgery. If someone else has found a code let us know. But I have looked and searched and have not found one.

    Jill Gibson, CPC

  5. Default 15777
    what about 15777?

  6. #6
    Boise, Idaho
    Definitely not 15777. I have not seen a code for it. The closest I see is 44700.

  7. Exclamation Mixed messages!
    According to Dr. Christopher Senkowski, Medical Advisor to AMA RUC from the American College of Surgery:

    "If the graft is placed to prevent skin from adhering to the tendon preventing contracture then the product is serving a soft tissue support function . If this is true then I think 15777 is appropriate."

    However, Dr. Senkowski provided this response when the physician was using a biologic implant such as a graft, and this is actually in the language of the code description.

    If the provider is employing a non-biologic product, then the CMS Administrators tend to provide very inconsistent guidance including the use of the hernia mesh code. Under +15777, EncoderPro advises:

    Code first primary procedure
    Excludes Application of skin substitute to an external wound (15271-15278)
    Excludes Mesh implantation for:
    Excludes Open repair of ventral or incisional hernia (49568)
    Excludes Repair of devitalized soft tissue infection (49568)
    Excludes Repair of pelvic floor (57267)
    Plastic, Reconstructive, and Aesthetic Surgery

    In short, I believe that an unlisted code may be the most appropriate. As such, I would urge you to prior authorize the service and intended code selections. There just is not a consensus on this yet.

    Mary Corkins

  8. #8
    Boise, Idaho
    Interesting about the tendon thing. I love asking questions on here. You guys always come up with something I hadn't even thought about. Any other surgical coders out there want to comment?

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