AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 2; Ask the Editor

Acellular Dermal Replacement Graft

A skin substitute, such as Integra, is an acellular dermal replacement that is described as human-tissue-derived with the cellular DNA material removed. Though nonautologous tissue is used, it is manipulated in such a way as to possibly be considered manufactured and therefore synthetic. In ICD-10-PCS, should the device value for a dermal regenerative graft be “synthetic substitute” or “non-autologous tissue substitute?” ...

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