CPT® Code 15176

Deleted

Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

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 meticulous preparation, including rinsing the dermal sheets in normal saline, meshing them to enhance flexibility and adherence, and securing them over the prepared wound bed using interrupted sutures or staples. It is crucial to ensure that the sheets do not overlap and that any excess material at the wound's periphery is trimmed to fit appropriately. Following the placement of the acellular dermal replacement, a comprehensive layered dressing is applied to protect the site 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 coding for this procedure is specific, with CPT® Code 15175 designated for the first 100 square centimeters or less in adults or 1% of total body surface area (TBSA) in infants and children, while CPT® Code 15176 is used for each additional 100 square centimeters in adults or 1% of TBSA in infants and children, or part thereof.