What is CPT Code 15272?: Understanding Skin Substitute Grafts






What is CPT Code 15272?: Understanding Skin Substitute Grafts

CPT code 15272 refers to the application of a new layer of skin-like material to a wound on areas like the trunk, arms, or legs. CPT 15272 represents “Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure).”

Procedure Explanation:

This medical procedure involves placing a substitute, which acts like a layer of skin, over a wound to help with healing. It’s used for wounds that cover up to 100 square centimeters, and if there are additional areas, they are treated separately as additional parts of the procedure. This procedure specifically focuses on the skin substitute application and does not include the actual preparation of the wound before applying the material.

Common Names:

  1. Skin Substitute Grafting
  2. Skin Graft Application
  3. Wound Coverage with Skin Substitute

Relative Value Units (RVU):

The RVUs associated with this code are 0.33.

How This Procedure Appears:

  • Operating Room Schedule Name: Skin substitute application for wound
  • Surgical Consent Form Name: Consent for applying skin-like graft to wound

Typical Patients and Diagnoses:

This procedure is commonly used for patients who have large wounds that don’t have enough healthy skin to cover them. For example, it might be used for someone with a severe burn or an ulcer that has not healed with other treatments. People with conditions that cause non-healing wounds, like diabetes, might also benefit from this procedure.

Associated ICD-10 Codes:

  • L97.1: This code is for describing a non-healing ulcer on the foot. Patients with ulcers due to conditions like diabetes might need this treatment.
  • S81.00: This code covers an open wound on the lower leg, which may require a skin substitute to promote healing.
  • T31.0: This code relates to burns covering less than 10% of the body surface, which might need coverage with a skin substitute.

Summary

In summary, code 15272 describes the process of using a skin-like material to cover and aid the healing of significant wounds. Typical ICD-10 codes associated with 15272 include L97.1 (non-healing ulcers on the foot) and S81.00 (open wounds on the lower leg).


Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.


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