Micromatrix
Question:
I'm new to plastics coding and have seen a couple of cases in which Acell Micromatrix is being documented. I have conflicting recommendations on whether to report this with a code from the 1527x series in CPT. However, I'm not confident with the advice. I am seeking an expert opinion and realize I should have started with KZA. Two questions: 1) is this separately reportable and 2) if yes, is CPT code 15271 the correct code?
Answer:
No, this is not separately reportable according to CPT Guidelines in the treatment of open wounds. Acell Micromatrix is a micronized particle (powder) and is considered a non-graft wound dressing. The CPT Guidelines for skin substitute grafts (page 100 of the 2024 CPT manual) instruct you to use the codes for biological products that form a sheet scaffolding to promote skin growth. CPT instructs the skin substitute codes are not to be used for non-graft dressings such as the Acell Micromatrix, a powder. KZA appreciates your inquiry as these codes are always under scrutiny. If you are in the office setting (non-facility) and purchased the Micromatrix, you may look to report HCPCS code Q4118 for the supply purchased and the application of the non-graft wound dressing would be captured in the appropriate evaluation and management level code.
*This response is based on the best information available as of 7/11/24.
