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Cost-effective wound healing described with fetal bovine collagen matrix

EXPERT ANALYSIS FROM THE ACMS ANNUAL MEETING

Coding and reimbursement

PriMatrix has been available for outpatient office use and reimbursement by Medicare since January 2017. Successful reimbursement requires completion of a preauthorization form, which is typically approved on the same day by Medicare and other payers. The proper CPT codes are 1527x, signifying a skin substitute graft less than 100 cm2 in size; Q4110 times the number of 1-cm2 units of PriMatrix utilized; and, when appropriate, ICD10 code Z85.828, for personal history of nonmelanoma skin cancer.

Dr. Kesty reported no financial conflicts of interest.