2024 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)
TAGS: additional primary wound infants greater total thereof addition application substitute equal separately graft surface
| 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 Coverage Issues Manual Reference Section Number | |
| HCPCS Type Of Service Code | 2 - Surgery |
| HCPCS Anesthesia Base Unit Quantity | 0 |
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