Do skin substitutes have NDC numbers?
Asked by: Johnson Blick | Last update: November 29, 2025Score: 4.8/5 (52 votes)
What is the code for skin substitutes?
Skin Substitutes and Biologicals HCPCS Code range Q4100-Q4353. The HCPCS codes range Skin Substitutes and Biologicals Q4100-Q4353 is a standardized code set necessary for Medicare and other health insurance providers to provide healthcare claims.
What skin substitutes are FDA approved?
Several FDA approved skin substitutes include Apligraf, Dermagraft, and Integra. These products are used in the treatment of various types of wounds, including diabetic foot ulcers and venous leg ulcers.
What is considered a skin substitute?
Skin substitutes are a heterogeneous group of biologic, synthetic, or biosynthetic materials that can provide temporary or permanent coverage of open skin wounds. Skin substitutes ideally possess the composition and function of skin or have the potential for autologous regenerative healing when applied to a wound [2].
What is the coding code for skin substitute graft and debridement?
Codes 15271-15278: Address the application of skin substitute grafts, categorized by wound size and anatomical site for precise billing. Add-on Codes (+15272, +15274, +15276): Used for additional wound surface areas beyond the initial coverage provided by base codes.
Cellular Based Products for Transplant Skin Substitutes
What is the ICD-10 code for skin substitute?
2025 ICD-10-PCS Procedure Code XHRPXF7: Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7.
What is the CPT code for graft substitute?
15271-15278 is the new CPT code series for skin substitute grafts. These unique codes are classified as per the anatomic site (general and specific body areas) and size (wounds with a total surface area less than 100 sq. cm, equal to, or greater than 100 sq. cm).
Can physical therapists apply skin substitutes?
Physical and occupational therapists have the demonstrated skill set to employ the use of bioengineered dressings and low-cost skin substitutes to complement and enhance the healing of chronic wounds.
What is skin replacement called?
A skin graft is a surgical procedure in which a piece of skin is transplanted from one area to another. Often skin will be taken from unaffected areas on the injured person and used to cover a defect, often a burn.
What is considered a substitute product?
What Is a Substitute? A substitute, or substitutable good, in economics and consumer theory refers to a product or service that consumers see as essentially the same or similar-enough to another product. Put simply, a substitute is a good that can be used in place of another.
Is there an NCD for skin substitutes?
Medicare does not have an NCD for skin substitutes grafts/cellular and tissue–based products. LCDs/LCAs exist and compliance with these policies is required where applicable.
Can a deep wound heal without a skin graft?
Letting it heal on its own
A partial-thickness burn or wound may heal without a graft or flap graft or flap. However, a full-thickness burn or wound will most likely form thick scar tissue that contracts. When scar tissue contracts, it can prevent normal movement around the area and may also be unsightly.
What is the CPT code for skin substitute foot?
CPT® Code 15275 - Skin Substitute Grafts - Codify by AAPC.
What does modifier jz mean?
JZ modifier to indicate no waste. Number of units given to the patient.
What is the HCPCS code for allograft skin substitute?
The HCPCS codes A2001-A2010 are for non-autologous skin (dermal or epidermal, cellular, and acellular) grafts (e.g., homograft, allograft), non-human skin substitute grafts (i.e., xenograft), and biological products that form a sheet scaffolding for skin growth.
What is another name for a skin substitute?
Allografts and xenografts
Cadaveric grafts and porcine grafts are skin substitutes that have been used clinically for several decades. Cadaveric grafts are termed allografts, or homografts, because they are transplanted from one individual to another within the same species.
What is the FDA approved artificial skin?
Apligraf® represents an example of a "composite skin graft", "skin equivalent' or "organo-typical skin substitute" as it has both living dermis and epidermis. The FDA approved it for clinical use in 1998 as the first true composite skin graft for the treatment of venous ulcers or neuropathic diabetic ulcers.
Is alloderm a skin substitute?
ALLODERM SELECT™ Regenerative Tissue Matrix (ALLODERM SELECT™ RTM) is a tissue product intended to be used for repair or replacement of damaged or inadequate skin or skin-like tissue or for other similar uses of human skin tissues.
Can a PTA get certified in dry needling?
Who Can Get Certified? Physical Therapists: Physical Therapists (PT's) can get certified in every state except NY, OR, CA, & HI. Dry needling in New Jersey and Washington state was recently approved and our courses satisfy the 80 hours of required certification in New Jersey and the 75 hours in Washington.
Is Epifix covered by Medicare?
Patient Insurance Coverage
In addition to Medicare and Medicaid coverage, EPIFIX is now covered 100% among national plans for diabetic foot ulcers (DFUs). Our product performance and supporting evidence has enabled best-in-class payer insurance coverage.
What can a physical therapist not do?
Physical Therapists shall not harass anyone verbally, physically, emotionally, or sexually.
How to bill for skin substitutes?
If reporting a skin substitute product with HCPCS codes A4100 (Skin substitute, FDA cleared as a device, not otherwise specified) or Q4100 (Skin substitute, not otherwise specified), the product name, package size purchased, amount applied and amount wasted must be reported in the claim narrative/remarks or the claim ...
What is the CPT code for free skin graft?
G.
Because, for a specific area, only one type of skin graft is typically applied, the primary free skin graft CPT codes (15100, 15120, 15200, 15220, 15240, 15260) are mutually exclusive to one another.
What is CPT code 15378?
Section 15378 - Project (a) "Project" means the whole of an action, which has a potential for resulting in either a direct physical change in the environment, or a reasonably foreseeable indirect physical change in the environment, and that is any of the following: (1) An activity directly undertaken by any public ...