PURAPLY®AM CODING SUPPORT
This section contains suggested billing codes for PuraPly AM, PuraPly XT, or PuraPly. These codes are provided for your information only. We always recommend that you check with your local carrier, Fiscal Intermediary (FI), Medicare Administrative Contractor (MAC), or other payer to verify coding and billing requirements.
| Type of code/service rendered | Code | Description |
|---|---|---|
| PuraPly | Q4195 | PuraPly, 1 sq cm |
| PuraPly AM | Q4196 | PuraPly AM, 1 sq cm |
| PuraPly XT | Q4197 | PuraPly XT, 1 sq cm |
HCPCS © 2020 American Medical Association. All Rights Reserved.
*These codes are provided for your information only. Use of these codes is not a guarantee of payment. You should select the most appropriate code for the procedure performed. Coding practice will vary by site of care, patient condition, range of services provided, local carrier instructions, and other factors. MAC has established specific policies for office claims, including payment for PuraPly AM, along with the professional service component. Coding requirements are subject to change at any time. Check with your local payer or call the PuraPly AM hotline at 1-888-HEAL-2-DAY (select option 3) if you require additional information.
| Type of code/service rendered | Code | Description |
|---|---|---|
| Q4196 | 636 | Drugs requiring detailed coding |
| 15271-15278 | 360 | Operating room services |
CPT © 2020 American Medical Association. All Rights Reserved.
*These codes are provided for your information only. Use of these codes is not a guarantee of payment. You should select the most appropriate code for the procedure performed. Coding practice will vary by site of care, patient condition, range of services provided, local carrier instructions, and other factors. MAC has established specific policies for office claims, including payment for PuraPly AM, along with the professional service component. Coding requirements are subject to change at any time. Check with your local payer or call the PuraPly AM hotline at 1-888-HEAL-2-DAY (select option 3) if you require additional information.
| Code | Description |
| 15271 | 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 |
| 15272 | Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) |
| 15273 | Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area |
| 15274 | Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) |
| 15275 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
| 15276 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) |
| 15277 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area |
| 15278 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) |
CPT © 2020 American Medical Association. All Rights Reserved.
*These codes are provided for your information only. Use of these codes is not a guarantee of payment. You should select the most appropriate code for the procedure performed. Coding practice will vary by site of care, patient condition, range of services provided, local carrier instructions, and other factors. MAC has established specific policies for office claims, including payment for PuraPly and PuraPly AM, along with the professional service component. Coding requirements are subject to change at any time. Check with your local payer or call the PuraPly AM Reimbursement Hotline at 1-888-432-5232 (select option 3) if you require additional information.READY TO TAKE CONTROL OF
THE HEALING ENVIRONMENT?
Talk to an Organogenesis Tissue Regeneration Specialist about using PuraPly®AM and PuraPly®XT, the native ECM scaffold + broad-spectrum PHMB antimicrobial for next-level wound healing support.
Contact usPlease refer to the PuraPly AM Instructions for Use and PuraPly XT Instructions for Use for complete prescribing information.