Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
Short Description: Low cost skin substitute app
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 2014
Effective Date: January 1, 2014
Termination Date: