Results 1 to 5 of 5

ENDURAGen Implant

  1. #1
    Question ENDURAGen Implant
    Exam Training Packages
    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.



  2. #2
    International Member
    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.
    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.
    Thyagarajan Munuswamy CPC CCS

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

  3. #3
    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
    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.

Similar Threads

  1. Help !! Implant Billing
    By dianawink in forum Orthopaedics
    Replies: 0
    Last Post: 12-19-2012, 01:57 PM
  2. omental implant-HELP
    By kah55*aapc in forum General Surgery
    Replies: 5
    Last Post: 08-28-2012, 12:29 PM
  3. IVF Implant
    By amym in forum Cardiology
    Replies: 1
    Last Post: 06-03-2011, 04:44 AM
  4. Removal of Implant
    By jdibble in forum ENT/Otolaryngology
    Replies: 0
    Last Post: 06-29-2010, 09:34 AM
  5. implant help
    By Jamie Dezenzo in forum Outpatient Facilities
    Replies: 1
    Last Post: 02-24-2009, 12:36 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.