I code wound care for our OP clinic. I have never seen documentation for Oasis, dermagraft or Apligraf with a wrap instead of sutures. Here is an excerpt from the LCD from Noridian, "For coverage of skin substitute products (devices) subject to Noridians Application of Skin Substitutes LCD, a product will be considered as a graft if the product is intended:
1) at the time of application to fully replace lost tissue, and
2) to achieve closure of a wound (whether in fact it is successful is not a firm criterion upon which payment would be based)
The expectation is that the product itself will function as a permanent replacement for the lost or damaged skin.
On the other hand, if the product is intended to achieve temporary closure or coverage of the wound, or to act as a matrix or scaffolding that encourages and/or otherwise supports the ingrowth of the patients own tissues in order to achieve permanent wound closure, we will not consider that use as a graft. Application of products, which warrant routine and/or anticipated replacement would be - at best - wound dressings, not grafts."
The LCD number is L24273 if you want to check it out for yourself.
I would want to make sure there is documentation as to why there are no sutures being used for the graft.
Hope this helps you,
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