tci General Surgery Coding Alert - 2008 Issue 5

Reader Questions: Allograft, Xenograft Re-Application Coding Differ

Question: Previously, General Surgery Coding Alert recommended reporting allograft codes 15300-15366 with modifier 58 for replacement grafts during the global period of the original graft placement. I have seen no information, however, on the xenograft codes, and specifically Oasis grafts as reported by 15430 and 15431. Should I also report follow-up units of 15430 and 15431 with modifier 58 separately for graft re-applications during the global period? Ohio Subscriber Answer: In fact, application guidelines for 15430 (Acellular xenograft implant; first 100 sq cm or less, or 1% of body area of infants and children) and +15431 (... each additional...

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