CPT® Code 15175

Deleted

Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

An acellular dermal replacement is a specialized medical procedure utilized to address skin defects in various anatomical regions, including the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and multiple digits. This procedure involves the application of a permanent skin replacement that is designed to restore the integrity and function of the skin in areas where it has been compromised. The acellular dermal replacement consists of a two-layer membrane, which typically includes a bovine collagen-based dermal layer that provides structural support and a temporary epidermal substitute layer made of silicone that aids in the healing process. The application of this replacement involves several meticulous steps, including rinsing the dermal sheets in normal saline, meshing them to enhance integration with the surrounding tissue, and securing them over the prepared wound bed using interrupted sutures or staples. Care is taken to ensure that the sheets do not overlap, and any excess material at the wound's periphery is trimmed to fit the defect precisely. Following the placement of the acellular dermal replacement, a layered dressing is applied to protect the area and promote healing. This dressing typically includes an elastic net fixation layer, an antimicrobial layer such as silver nitrate, a bulky layer of gauze, a compression layer, and an anti-shear layer. The CPT® Code 15175 is specifically designated for the first 100 square centimeters or less of this procedure in adults or for 1% of total body surface area in infants and children, while additional areas are coded with CPT® Code 15176.