A patient who is status post Apligraf application is admitted for treatment after failure of the graft. Which is the correct complication code, 996.55, Complication due to artificial skin graft or 996.52, Complication due to graft of other tissue, NEC? Since Apligraf® is a “living cell” based product, it seems to fit the category of “other tissue” rather than “artificial skin.”
Assign code 996.52, Mechanical complication of other specified prosthetic device, implant, and graft, due to graft of other tissue, NEC, for the failure of the Apligraft®. Apligraft® is a biological substance that is created from living cells found in healthy human skin. It is used to treat nonhealing wounds (e.g., diabetic foot ulcers and venous ulcers), which do not respond to conventional therapies. Other examples of biological wound care products that include graft of other human tissue are Celtx and Dermagraft.