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HCPCS codes / C / C5278

C5278

Application of low cost 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, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)

Code type
HCPCS Level II
Coverage
Special coverage instructions
BETOS category
P5A
Pricing indicator
53
Effective date
20260101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.