Support Center

Ordering

To contact Dermagraft customer service, please call:

Advanced BioHealing Customer Service
1.877.Dermagraft (1.877.337.6247)

Dermagraft Coding—MEDICARE

DERMAGRAFT APPLICATION CODES

Physician

There are two new CPT codes effective January 1, 2012 for the physician application of Dermagraft:

• 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: each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)

NOTE:

• The CPT code selection is based on the size of the wound, in 25 sq cm increments.
• Physicians and facilities bill these codes in ALL settings—hospital outpatient department, physician office, and ambulatory surgery center (ASC).
• There is no global period attached to the CPT codes for the application of Dermagraft.

Facilities

There are two new CPT codes effective January 1, 2012 for the facility application of Dermagraft:

• 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: each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)

DERMAGRAFT PRODUCT CODE

There are no changes to the product code (Q code series):

• Q4106: Skin substitute, Dermagraft, per sq cm. [Suggest billing 37.5 or 38 units, rounded]

Private Payers and Medicaid

Some private payers and State Medicaid plans may be slow to adopt the new codes for the application of Dermagraft.
 
Please contact the Dermagraft Reimbursement Hotline for information on implementation of the new codes. The hours are 9 am ET to 8 pm ET at 1-866-866-7731.