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2025 CPT code 15120

Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050).

Refer to CPT guidelines for proper coding of skin grafts. This code does not include excision of lesions. If multiple wounds are repaired, add the lengths of those in the same classification.

Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22) or distinct procedural service (59) if performed in conjunction with other procedures.

Medical necessity for 15120 is established when a split-thickness skin graft is required for wound closure due to burns, trauma, or other conditions affecting the specified anatomical sites.

The physician prepares the wound bed, harvests the split-thickness skin graft using a dermatome, and applies the graft to the recipient site. The graft is secured, and dressings are applied.

In simple words: A thin layer of skin is taken from one area of the body and used to cover a burn or wound on the face, head, hands, feet, or genitals.The grafted area is up to 100 square centimeters or 1% of a child's body.

This procedure involves a split-thickness autograft (skin graft using a portion of the skin's thickness) for areas like the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits. The graft covers an area of 100 sq cm or less in adults and children 10 years and older, or 1% of body surface area for infants and children under 10.

Example 1: A 2-year-old child with a 20 sq cm burn on the hand receives a split-thickness autograft., A 35-year-old patient with a 80 sq cm traumatic wound on the scalp undergoes split-thickness skin grafting., A 7-year-old child with a burn on the face covering 0.8% of body surface area receives a split-thickness autograft.

Documentation should include size and location of the wound, donor site location, method of graft fixation, and operative details.

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