cpt 15271, cpt code 15271, 15271 cpt code

CPT Code 15271 | Description, Procedure & Billing Guidelines (2022)

Report CPT 15271 for procedures that involved skin substitutes for covering the first 25 cm2 of wounds with a surface area of 100 cm2 or less.

1. What Is CPT Code 15271?

CPT 15271 covers a procedure in which a provider uses xenograft, allograft, or another skin substitute to cover wounds on the patient’s legs, arms, and/or trunk.

The surface area of the wound that needs to be covered can be at most 100 square centimeters, and 15271 can only be billed for the first 25 square centimeters.

2. Description

The CPT book describes CPT code 15271 as follows: “Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area.”

3. Procedure

The 15271 CPT code procedure starts with preparing the surface area of the wound after the patient is anesthetized and prepped.

The provider cleans the wound areas with antiseptic before preparing the skin substitute graft. They shape the graft to fit the wound.

Next, they sterilize the skin substitute graft before transplanting it to the wound. The provider checks if the graft covers the wound so it can heal properly.

4. How To Use CPT Code 15271

CPT code 15271 can only be used for the first 25 square centimeters of wound surface area.

You can report add-on code 15272 for every additional 25 square centimeters of surface area.

Report CPT 15273 or CPT 15274 instead of CPT 15271 if the surface area of the wound is greater than 100 square centimeters or if the procedure is performed for a child younger than ten years of age with wounds that cover 1% of or more of their entire body.

You can use this CPT modifier list for billing a procedure that involves different grafts for different body areas and CPT codes.

5. Resources

CPT Professional 2022

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=56696&ver=22&

https://www.aapc.com/codes/coding-newsletters/my-general-surgery-coding-alert/integumentary-procedures-4-questions-focus-your-skin-substitute-graft-coding-148812-article

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