CPT^® 15274, Under Skin Substitute Grafts

The Current Procedural Terminology (CPT^®) code 15274 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 a trunk, arms, and/or legs wound surface area of up to an additional 100 cm2 in a patient 10 years or older, or 1 percent of body area of infants and children under 10. He performs this add–on service for a wound 100 cm2 or larger at the same session that he covers the first 100 cm2 in patients 10 and older or covers the first 1 percent of body area in patients under 10.

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Have a question about CPT Code 15274 ? Start a discussion here

Integumentary section

Poor kid. Based on the information you've provided, this is how I would code the report: [B]Face, Neck, Scalp, Hands & Feet (800 sq cm total): [/B]15277, 15278 x7, 15004, 15005 x7 [B]Trunk, Arms & Le... [ 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 ]

application of stsg and skin substitute on donor site

[QUOTE="cbutsko, post: 499418, member: 129794"] Yes. You would use a split thickness skin graft code for the left lower leg, and 15273/15274 for the left thigh. Also, don't forget to bill the prep cod... [ Read More ]

application of stsg and skin substitute on donor site

Yes. You would use a split thickness skin graft code for the left lower leg, and 15273/15274 for the left thigh. Also, don't forget to bill the prep code for the stsg. Finally, you should be able to b... [ Read More ]

Medicare Recent Denial For CPT 15273

Skin Substitute Grafts: CPT 15273 …first 100 sq cm wound surface area, or 1% of body area of infants and children. For years we’ve billed this code to Medicare for application of homo/allo/xenogra... [ Read More ]

Knee Arthoplasty

Hi all! I am hoping for any help you may have. I am fairly new to Orthopaedic surgery and I am seeing insurance denials of some of the cpt codes we are billing stating they are included with another p... [ Read More ]

Podiatry-Need help

You'll need to query the physician as to the size of the skin graft. Take a look at the code range 15271-15274. Don't forget the supply code, probably something in the Q41xx range. Application of ski... [ Read More ]

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