Coding

2014 Apligraf Application Codes

Facilities and physicians will utilize (8) new codes for the application of Apligraf.

2014 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

2014 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
  • Application codes will be based on wound size/location and will carry a 0 day global billing period
  • These 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.