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Thread: GraftJacket

  1. #1
    Join Date
    Apr 2007
    Posts
    19

    Default GraftJacket

    Has anyone heard of this for diabetic ulcers? I have a wound NP wanting to use it, but I have never heard of it. Just wondering if anyone is billing for it and what CPT codes they are using?
    Thanks
    Peggy Miller, CPC, CANPC

  2. #2
    Join Date
    Apr 2007
    Location
    Salt Lake City
    Posts
    841

    Default

    It looks like you would use an unlisted procedure for the primary CPT and then the graft jacket is add on code 15777.
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    Join Date
    Apr 2007
    Location
    Madison, Wisconsin
    Posts
    16

    Default

    I would use the 15271-15278 for the wound prep depending on the wound size and location, then the graft itself is coded as either Q4107 Graft jacket or Q4113 Graftjacket Xpress. Your local rep should be able to provide you with additional coding advice.

  4. #4
    Join Date
    Apr 2007
    Location
    Worcester
    Posts
    5

    Default graftjacket coding

    I would suggest looking at the payor policy. the new 1572X section would be most appropriate for the application. most payors do not allow for separate coding of the debridement. as indicated in a previous posting, depending upon the product there are HCPCS codes available.

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