CPT^® 15271, Under Skin Substitute Grafts

The Current Procedural Terminology (CPT^®) code 15271 as maintained by American Medical Association, is a medical procedural code under the range - Skin Substitute Grafts.

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Summary

The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.

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skin substitute

Good morning All, Need your expertise on Skin Substitute coding. RT LATERAL ANKLE IRRIGATION & DEBRIDEMENT OF WOUND; TISSUE BIPOSY, AND APPLICATION OF PLACENTA MEMBRANCE GRAFT X2. IMPLANT STRAVIX CR... [ Read More ]

Difference between a the CPT code for a dermal matrix and a De-epithelialized flap for breast reconstruction

We use CPT +15777 for ADM reinforcement (ex: Allomax product - Biologic) typically with breast implant insertion following mastectomies. It is used to help support the implant or beef up thin skin - s... [ Read More ]

wound care in office during surgical global period

CPT 15271 - 15278 One of my physicians is wanting to start doing these codes. My question are these payable during a surgical global period IN THE OFFICE. I know that with other procedures during... [ Read More ]

Workers Comp OWCP related claim denials on modifiers used

I have several claims for skin grafts on a patient who is in a global period for placement of an autograft 15100-15121. As the patient has over 50% TBSA burns, he has multiple grafts and is going to ... [ Read More ]

Do Medicare pay these codes?

Thank you!! It is for Texas State. As per below link they say they pay for graft when billed appropriately with CPT. [URL unfurl="true"]https://www.cms.gov/medicare-coverage-database/view/article.as... [ Read More ]

High and Low Cost Skin Substitutes

C5271 only applies for facility billing. For the physician, bill 15271 for either high or low cost skin substitute on the trunk, arms, or legs, first 25 sq cm.... [ Read More ]

Modifier Check

[QUOTE="MADION, post: 488947, member: 37518"] That did help I think. I went to the site and typed in 15271 and the modifier column was blank. Does that mean modifiers are not used with this code? [/QU... [ Read More ]

Modifier Check

[QUOTE="cpc2007, post: 488901, member: 15287"] Hi - yes you can use the Medicare Physician Fee Schedule Lookup Tool to determine this information: [URL]https://www.cms.gov/medicare/physician-fee-sched... [ Read More ]

Application of free (pro bono) skin substitutes for Medicare.

would anyone know how to report a free skin substitute that was applied in an office setting (POS11)? would we just report the CPT (15271) and the product -Q4100 at 0.00 (or 0.01) charge? [/QUOTE] Th... [ Read More ]

Application of free (pro bono) skin substitutes for Medicare.

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