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ENDURAGen Implant

  1. #1
    Question ENDURAGen Implant
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    I am looking for the code for ENDURAGen Implant right lower eyelid. Docs offices said they used 15120 but this does not seem correct to me. Any suggestions. I was looking more at the acellular xenograft area.


    Thanks

    Charla

  2. #2
    Location
    International Member
    Posts
    26
    Default 15430
    15430 Acellular xenograft implant; first 100 sq cm or less, or 1% of body area of infants and children
    will be the correct CPT code.
    ENDURAgen is not allograft.
    Note:
    Acellular porcine dermis (Enduragen; Tissue Sciences Laboratories, plc., Aldershot, U.K.) was recently introduced as a biologic implant and it is compositionally similar to Alloderm. However, no data currently exist regarding its biomechanical properties and potential use as an alternative implant to Alloderm in static facial sling procedures.
    http://www3.interscience.wiley.com/j...TRY=1&SRETRY=0
    Thanks
    Thyagarajan Munuswamy CPC CCS

    "Man needs his difficulties because they are necessary to enjoy success".
    ABDUL KHALAM - Former President of INDIA

  3. #3
    Default
    It would fall under an unlisted procedure and Medicare many times considers non-autografts to be not separately reportable. They allow some such as mesh for certain hernias. So it would appear you that you report the code for the procedure and either modifier 22 it or also code an unlisted code and send in supporting documentation
    excerpt from codecorrect.

    I had a ocular plastic docter who wanted to bill for this and we researched and researched and it still fell under unlisted....

    good luck

  4. #4
    Default
    Actually I agree you code the xenograft on this. When these tissue substitutes are being used throughout the body, you still default back to the integ codes to place them.

  5. #5
    Red face
    Thanks for all your help. I did go with the xenograft code.

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