Coding

Product Codes

• Q4121 TheraSkin PER SQUARE CENTIMETER
• Two Sizes
• All codes provided herein are for information purposes only and shall not be construed as a statement, promise or guarantee that these codes are accurate or reimbursement will be received. Coding practice will vary by site of care, patient condition, range of services provided, local payor instructions, and other factors. The decision as to how to complete a reimbursement claim form, including amounts to bill, is exclusively the responsibility of the provider. Coding requirements are subject to change at any time - check with your local payor regularly.

CPT Codes

· CPT 15271 - Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 cm²; first 25 cm² or less wound surface area.

· CPT 15272 - Each additional 25 cm² wound surface area, or part thereof. (List separately in addition to code for primary procedure.)

· CPT 15273 - Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 cm² ; first 100 cm² wound surface area, or 1% of body area of infants and children.

· CPT 15274 - Each additional 100 cm² wound surface area, or part thereof, or each additional 1% of body area of infants or children. (List separately in addition to code for primary procedure.)

· CPT 15275 - Application of skin substitute graft to face, scalp, eyelid, mouth, neck ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 cm²; first 25 cm² or less wound surface area.

· CPT 15276 - Each additional 25 cm² wound surface area, or part thereof. (List separately in addition to code for primary procedure.)

· CPT 15277 - Application of skin substitute graft face, scalp, eyelid, mouth, neck ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 cm² ; first 100 cm² wound surface area, or 1% of body area of infants and children.

· CPT 15278 - Each additional 100 cm² wound surface area, or part thereof, or each additional 1% of body area of infants or children. (List separately in addition to code for primary procedure.)

• All codes provided herein are for information purposes only and shall not be construed as a statement, promise or guarantee that these codes are accurate or reimbursement will be received. Coding practice will vary by site of care, patient condition, range of services provided, local payor instructions, and other factors. The decision as to how to complete a reimbursement claim form, including amounts to bill, is exclusively the responsibility of the provider. Coding requirements are subject to change at any time - check with your local payor regularly.
• CPT is a registered trademark of the American Medical Association

ICD-9 Codes

• ICD-9-CM codes associated with TheraSkin use. Please check with your local payors, Medicare Administrative Contractor, Fiscal Intermediary or Carrier for specific coding and billing requirements.
• Codes

ICD-9-CM Code Description 454.0 VARICOSE VEINS OF LOWER EXTREMITIES WITH ULCER 454.2 VARICOSE VEINS OF LOWER EXTREMITIES WITH ULCER AND INFLAMMATION 459.11 POSTPHLEBETIC SYNDROME WITH ULCER 459.13 POSTPHLEBETIC SYNDROME WITH ULCER AND INFLAMMATION 459.31 CHRONIC VENOUS HYPERTENSION WITH ULCER 459.33 CHRONIC VENOUS HYPERTENSION WITH ULCER AND INFLAMMATION 459.81 VENOUS (PERIPHERAL) INSUFFICIENCY UNSPECIFIED

249.60 SECONDARY DIABETES MELLITUS WITH NEUROLOGICAL MANIFESTATIONS, NOT STATED AS UNCONTROLLED, OR UNSPECIFIED 249.61 SECONDARY DIABETES MELLITUS WITH NEUROLOGICAL MANIFESTATIONS, UNCONTROLLED 249.70 SECONDARY DIABETES MELLITUS WITH PERIPHERAL CIRCULATORY DISORDERS, NOT STATED AS UNCONTROLLED, OR UNSPECIFIED 249.71 SECONDARY DIABETES MELLITUS WITH PERIPHERAL CIRCULATORY DISORDERS, UNCONTROLLED 249.80 SECONDARY DIABETES MELLITUS WITH OTHER SPECIFIED MANIFESTATIONS, NOT STATED AS UNCONTROLLED, OR UNSPECIFIED 249.81 SECONDARY DIABETES MELLITUS WITH OTHER SPECIFIED MANIFESTATIONS, UNCONTROLLED 250.60 DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.61 DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.62 DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.63 DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.70 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.71 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.72 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.73 DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], UNCONTROLLED 250.80 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED 250.81 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE I [JUVENILE TYPE], NOT STATED AS UNCONTROLLED 250.82 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED 250.83 DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED

707.12 ULCER OF CALF 707.13 ULCER OF ANKLE 707.14 ULCER OF HEEL AND MIDFOOT 707.15 ULCER OF OTHER PART OF FOOT 707.19 ULCER OF OTHER PART OF LOWER LIMB

• All codes provided herein are for information purposes only and shall not be construed as a statement, promise or guarantee that these codes are accurate or reimbursement will be received. Coding practice will vary by site of care, patient condition, range of services provided, local payor instructions, and other factors. The decision as to how to complete a reimbursement claim form, including amounts to bill, is exclusively the responsibility of the provider. Coding requirements are subject to change at any time - check with your local payor regularly.