2025 HCPCS code Q4167
Effective Date: N/A Skin Substitutes and Biologicals Feed
TruSkin™ cryopreserved human skin allograft (per square centimeter)
Medical necessity for TruSkin allograft is established when it is used to treat acute and chronic wounds that would benefit from skin replacement or reconstruction, as a viable alternative to more invasive surgical procedures.
In simple words: TruSkin is a skin graft taken from a donor and used to treat serious wounds. This code is used for each square centimeter of the graft. It helps the wound heal and can be an alternative to taking skin from another part of the patient's body for grafting.
TruSkin™ is a cryopreserved human skin allograft used for acute and chronic wounds to replace or reconstruct damaged skin tissue. Each unit of this code represents one square centimeter of the allograft. It is used as an alternative to fresh skin grafts and addresses biological deficiencies in the wound, assists in epithelialization, and aids in preserving surrounding tissue. It is a treatment option and alternative to invasive procedures like autologous skin grafting or limb amputation. The allograft comes in two sizes: 2cm x 4cm, and 4cm x 8cm. The device is for one-time use and is reported for each square centimeter used. This code represents only the allograft itself, not the procedure to place the tissue. An allograft is a tissue graft from one person to another; donors include cadavers and living individuals related or unrelated to the recipient, also known as a homograft. Epithelialization is the regrowth of skin over a wound.
Example 1: A patient with a chronic diabetic foot ulcer measuring 3cm x 4cm receives a TruSkin allograft. The provider would bill 12 units of Q4167., A patient with a burn wound covering 5cm x 5cm undergoes wound treatment with TruSkin. The provider would report 25 units of Q4167., A patient with an acute surgical wound requiring skin replacement receives an 8cm x 4cm TruSkin allograft. The provider would bill 32 units of Q4167.
Documentation should include the size of the wound in square centimeters, the type of wound (acute or chronic), the medical necessity for the allograft, and the specific product used (TruSkin).
- Specialties:General Surgery, Plastic Surgery, Podiatry, Wound Care, Burn Care.
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Ambulatory Surgical Center, Skilled Nursing Facility, Military Treatment Facility