2025 CPT code 15275
Effective Date: N/A Revision Date: N/A Surgery - Integumentary System Feed
Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less of wound surface area.
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (modifier 22), multiple procedures (modifier 51), reduced services (modifier 52) or the specific anatomical site. Modifier 59 would be used for distinct procedural service if used in conjuction with another code.
Medical necessity must be established by documenting the underlying condition requiring skin grafting. This could be related to trauma, burns, infection, or surgical reconstruction.
The physician prepares the wound, selects and prepares the appropriate skin substitute graft, applies the graft, and ensures proper adherence.
In simple words: The doctor applies a skin substitute, like a temporary skin patch, to a wound on areas like the face, hands, or feet. This patch helps the wound heal. This code covers the application of this skin substitute up to a certain size.
This code describes the application of a skin substitute graft (such as an allograft or xenograft) to a wound on specific areas of the body (face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits). The total wound surface area treated is up to 100 sq cm, and this code specifically covers the first 25 sq cm or less.
Example 1: A patient presents with a 15 sq cm burn on their hand. A skin substitute graft is applied., A patient undergoes surgery on their eyelid requiring a 20 sq cm skin substitute graft for closure., A patient has a small laceration on their face. A skin substitute is used to aid in wound healing.
Documentation should include the size and location of the wound, the type of skin substitute used, and the method of application.Operative reports describing the preparation of the wound bed, the placement and fixation of the graft, are required.
- Modifier TC rule: Not applicable.
- Specialties:Plastic Surgery, Dermatology, General Surgery, and potentially other surgical specialties.
- Place of Service:Various settings, including hospitals (inpatient or outpatient), ambulatory surgical centers, and physician offices.