Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
Temporary Codes for Use with Outpatient Prospective Payment System
C5277 is a valid 2024 HCPCS code for Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children or just “Low cost skin substitute app” for short, used in Surgery.
HCPCS Level II Code Temporary Codes for Use with Outpatient Prospective Payment System |
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HCPCS Code | C5277 |
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Description |
Long description:
Short description: |
HCPCS Modifier1 | |
HCPCS Pricing indicator |
53 - Statute
|
Multiple pricing indicator |
A - Not applicable as HCPCS priced under one methodology
|
Statute number | 1833(t) |
Coverage code | D - Special coverage instructions apply |
ASC payment group code | Effective Jan 01, 2014 - This procedure is approved to be performed in an ambulatory surgical center. |
BETOS2 code | P5A - Ambulatory procedures - skin |
HCPCS Action code | N - No maintenance for this code |
Type of service | 2 - Surgery |
Effective date | Effective Jan 01, 2014 |
Date added | Added Jan 01, 2014 |
HCPCS Coding Procedures |
In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.
Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
“NU” identifies the hospital bed as new equipment
1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).
2 BETOS stands for “Berenson-Eggers Type Of Service”