C5276

Application of low cost 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)

Short Description

Low cost skin substitute app

HCPCS Coverage Code

D = Special coverage instructions apply

HCPCS Action Code

N = No maintenance for this code

HCPCS Action Effective Date

January 01, 2014

HCPCS Code Added Date

January 01, 2014

HCPCS Pricing Indicator Code

53 = Statute

HCPCS Multiple Pricing Indicator Code

A = Not applicable as HCPCS priced under one methodology

HCPCS Statute Number

1833(t)

HCPCS Type Of Service Code

2 = SurgeryF = Ambulatory surgical center (facility usage for surgical services)

C5276

Short Description

HCPCS Coverage Code

HCPCS Action Code

HCPCS Action Effective Date

HCPCS Code Added Date

HCPCS Pricing Indicator Code

HCPCS Multiple Pricing Indicator Code

HCPCS Statute Number

HCPCS Type Of Service Code

HCPCS Anesthesia Base Unit Quantity