AHA Coding Clinic® for HCPCS - 2018 Issue 2; Ask the Editor


Patient with a chronic pressure ulcer of the right lateral malleolus presents for excision of the ulcer. The excision (6x5 cm) was taken down to the fascia and necrotic tissue was removed. A 4x7 cm piece of  StravixTM was placed and sutured into the wound and Prolene was used to close over the Stravix™. The dermis was closed and a splint was placed on the foot to prevent movement. Would this be coded using skin substitute graft CPT codes 15275 and 15276 or placement of soft tissue reinforcement CPT code 17999? Is there a HCPCS code for the Stravix™ utilized? ...

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