I have seen conflicting information on that too.
I went to a coding conference and was told allograft/xenografts are for skin replacement only!!!
But in CPT the description for Xenograft reads "Application of a non-human kin graft or biologic wound dressing to a part of the receipient's body following debridement of the burn wound or area of traumatic injury, soft tissue infection and/or tissue necrosis, or surgery." (I added bold for emphasis.)
So can we interpret "or surgery" to apply to our abdominal wall repairs? I also read through the explanation of codes 15400-15401 xenografts and in my General Surgery Coding Companion 2010, it does not give any example of use other than for skin replacement.
When our surgeon's use it as underlay during abdominal repairs, it is being used like mesh for reinforcement, not skin replacement. We have been told by pharm. reps, who sell the xenograft and allografts that it is billable. I have billed it and received payment from most carriers excluding Medicare.
Anyone else have an opinion on this?
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join