CPT® Code 15336

Deleted

Acellular dermal allograft, 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 allograft is a specialized medical procedure that involves the use of a skin graft derived from a cadaver donor, which has undergone chemical treatment to remove antigenic epidermal cellular components. This process minimizes the risk of immune rejection, making it a valuable option for covering skin defects or filling soft tissue defects in various anatomical areas, including the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and multiple digits. Initially developed for treating burn victims, the application of acellular dermal allografts has expanded to include reconstructive surgery, dental and oral procedures, as well as plastic and cosmetic surgeries. The procedure entails the careful preparation of the graft, which is rehydrated in an isotonic sodium chloride solution and trimmed to fit the specific dimensions of the wound. The graft is then applied over the prepared wound bed, either in single or multiple layers, and secured with absorbable sutures. Any excess material is trimmed to ensure a proper fit. In cases where the graft is used to address a soft tissue defect, it may be covered with a separately reportable skin flap. Following the application of the graft, a layered dressing is placed, consisting of a bulky gauze layer, a compression layer, and an anti-shear layer to promote healing and protect the site. For billing purposes, CPT® Code 15335 is utilized for the first 100 square centimeters or less in adults or for 1% of total body surface area (TBSA) in infants and children, while CPT® Code 15336 is designated for each additional 100 square centimeters in adults or each additional 1% of TBSA in infants and children, or part thereof.