You also can't bill 20680. These codes should continue to be used for physician, outpatient, and ambulatory services. cm. Per revised skin replacement surgery guidelines, CPT® now specifies codes in this section (15002-+15278) be reported for topical application of a skin graft. cm. Dr. Poggio adds that one may bill for both the graft material and the application of that material. That is, 15002-+15278 do not include use of skin replacement materials as soft tissue reinforcement. When this service is rendered in place of service office, both the application of the skin graft (CPT codes 15430 - 15431) and the product used must be billed on the same claim. CPT 20900 (bone graft, any donor area; minor or small - e.g., dowel or button) seems reasonable for the bone harvesting. Specifically, this code is to be used for application of a skin substitute graft … Foot and Ankle Systems Coding ... autogenous bone graft (includes obtaining graft) 28445 Open treatment of talus fracture, includes internal fixation, when performed 28465 Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, Only ICD-10-CM, not ICD-10-PCS, will affect physicians. Physician claims for services provided to inpatient patients will continue to report CPT and HCPCS codes. No code for the bone graft There is no code for the bone graft. 2. This service has a 90-day global period under the Medicare Fee Schedule Data Base (MFSDB). * Facility reimbursement: for high cost skin substitutes, refer to column "facility reimbursement" of this CPT code. This code is based on a wound size (after cleansing, prepping, and/or debriding) maximum of 100 sq cm. If internal hardware needs to be removed in order to perform a procedure, it's not reported separately. For example, Dr. Aung says one should report the application of a 25 cm2 allograft to a foot with code 15275. Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes. Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area. CPT Code Descriptor 15271 Application of skin substitute graft to trunk, arms, legs, total wound surface area of up to 100 sq cm; first 25 sq. That's just part of the procedure. up to 100 sq. Report each subsequent 25 cm2 allograft up to 100 cm2 with the add-on code +15276. If this is your first visit, be sure to check out the FAQ & read the forum rules.To view all forums, post or create a new thread, you must be an AAPC Member.If you are a member and have already registered for member area and forum access, you can log in by clicking here.If you've forgotten your username or password use our password reminder tool.To start viewing … or less of wound surface area +15272 Each additional 25 sq. cm. 24 | Organogenesis Coverage, Coding, and Payment Wound Care Customer Manual CPT Codes (cont’d) CPT codes 15271-15274 For Wounds 1-99 sq cm on the Trunk, Arms, Legs • 15271 — Application of skin substitute graft, first 25 sq cm or less of wound surface • 15272 — Each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for … *This response is based on the best information available as of 11/16/17. GRAFIX APPLICATION CODING-MEDICARE Billing Hint #2: + designates and add on code. You will need to go to CMS.GOV and pull up the CMS NCCI Surgery Policy Manual for orthopedics. I would then recommend the use of CPT 28899 (unlisted procedure, foot or toes) with a paper claim and a copy of the operative report, requesting individual peer consideration. For low cost, refer to CPT codes C5271 to C5278: $145.08: $87.48: $1,568.43: 15272 Howard Zlotoff, DPM- Codingline-L contributor Small" Foot/Toe Wounds CPT 15275 (application of skin substitute graft to, for example, foot or toe(s)). Therefore, the more accurate code is a surgical preparation code (15002 – 15005) for excision (note the term is not debridement) of the open wound to prepare a viable wound surface for grafting.