APMA News - July/August 2021 - 33

Coding
subcutaneous tissues), or incisional release of scar contracture,
face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,
hands, feet and/or multiple digits; each additional 100
sq cm, or part thereof, or each additional 1 percent of body
area of infants and children. (List separately in addition to
code for primary procedure.) (add-on code)
Application Codes for Leg, Arm, or Trunk
* 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 wound surface area.
* 15272: 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.)
* 15273: Application of skin substitute graft to trunk, arms,
legs, total wound surface area greater than or equal to 100
sq cm; first 100 sq cm wound surface area.
* 15274: Application of skin substitute graft to trunk,
arms, legs, total wound surface area greater than or equal
to 100 sq cm; each additional 100 sq cm wound surface
area, or part thereof. (List separately in addition to code
for primary procedure.)
Application Codes for Foot, Face, Scalp, etc.
* 15275: Application of skin substitute graft to face, scalp,
eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits, total wound surface area up to 100
sq cm; first 25 sq cm or less wound surface area.
* 15276: Application of skin substitute graft to face, scalp,
eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits, 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.)
* 15277: Application of skin substitute graft to face, scalp,
eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits, total wound surface area greater
than or equal to 100 sq cm; first 100 sq cm wound surface
area.
* 15278: Application of skin substitute graft to face, scalp,
eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits, total wound surface area greater
than or equal to 100 sq cm; each additional 100 sq cm
wound surface area, or part thereof. (List separately in addition
to code for primary procedure.)
Most importantly, do not forget to code the Q HCPCS code
for the correct product as well as the correct number of units.
Refer to your LCD or LCA to see if you need to bill the number
of units of the product on one line or if you need to bill it
on two lines, including coding the units applied as well as the
wastage with a JW modifier. Also be mindful of the MUEs
(Medically Unlikely Edits) of each product so you do not submit
more units than Medicare typically allows.
If you follow these guidelines, you should be able to get
reimbursed seamlessly. n
APMA News July/August 2021 33
APMA News - July/August 2021

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