Coding
New 2012 Apligraf Application Codes
Effective January 1, 2012, Facilities and physicians will utilize (8) new codes for the application of Apligraf.
2012 Apligraf Application Codes for Leg
| Wound Size: Less than 100 sq cm |
Application Codes | Wound Location |
|---|---|---|
First 25 sq cm Each Additional 25 sq cm |
15271 (Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less of wound surface area) 15272 (each additional 25 sq cm wound surface area, or part thereof) (List separately in addition to code for primary procedure) |
Leg |
| Wound Size: Equal/Greater 100 sq cm |
Application Codes | Wound Location |
100 sq cm Each Additional 100 sq cm |
15273(Application of skin substitute graft to trunk, arms, legs, total wound surface greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children) 15274 (each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure) |
Leg |
2012 Apligraf Application Codes for Feet
| Wound Size: Less than 100 sq cm |
Application Codes | Wound Location |
|---|---|---|
First 25 sq cm Each Additional 25 sq cm |
15275 (Application of skin substitute graft to face, scalp, feet, etc., total wound surface area up to 100 sq cm; first 25 sq cm or less ) 15276 (each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure) |
Feet |
| Wound Size: Equal/Greater 100 sq cm |
Application Codes | Wound Location |
100 sq cm Each Additional 100 sq cm |
15277 (Application of skin substitute graft to face, scalp, feet, etc., total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children) 15278 (each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children) (List separately in addition to code for primary procedure) |
Feet |
- Current application codes 15340, 15341, G0440, G0441 are being deleted effective 1/1/12
- New application codes will be based on wound size/location and will carry a 0 day global billing period
- These new application codes will be used by all providers in all places of service
This document is for informational purposes only. Use of this information does not guarantee coverage or payment for these services by Medicare or other payors.
Physicians and other providers should use independent judgment when selecting codes that most appropriately describe the services provided to a patient.
Physicians and hospitals are solely responsible for compliance with Medicare and other payors’ laws, rules, and requirements.