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BETA v.3.0

2025 HCPCS code Q4273

Esano™ AAA, dehydrated human amniotic membrane allograft, per square centimeter.

Medical necessity for Esano™ AAA must be established based on the specific wound characteristics, failed conservative treatments, and clinical judgment.

In simple words: This code covers a special wound dressing made from donated human amniotic membrane (the tissue surrounding a baby during pregnancy), called Esano™ AAA. It's applied to wounds, and the cost is calculated based on the size of the wound in square centimeters.

Esano™ AAA, a dehydrated human amniotic membrane allograft, is used in wound management and reported per square centimeter.

Example 1: A patient with a chronic diabetic ulcer measuring 5cm x 5cm receives Esano™ AAA. The code Q4273 is reported 25 times., A burn victim with a 10cm x 8cm partial thickness burn receives Esano™ AAA as a wound covering. The code Q4273 is reported 80 times. , A patient with a venous stasis ulcer measuring 2cm x 3cm is treated with Esano™ AAA. Q4273 is reported 6 times.

Documentation should include the size of the wound in square centimeters, the medical necessity for using Esano™ AAA, and the application details.

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