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; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
Temporary Codes for Use with Outpatient Prospective Payment System
C5278 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; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure) 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 | C5278 |
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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 |
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”