2023 HCPCS Code C5274

Application of low cost 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, or each additional 1% of body area of infants and children, 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 = Surgery
F = Ambulatory surgical center (facility usage for surgical services)
HCPCS Anesthesia Base Unit Quantity 0