2025 HCPCS Code C5274

Application of low cost skin substitute graft to trunk, arms, legs, 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)

TAGS: additional primary wound infants greater total thereof addition application substitute equal separately graft surface

Short Description	Low cost skin substitute app
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Code Added Date	January 01, 2014
HCPCS Action Effective Date	January 01, 2014
HCPCS Pricing Indicator Code	53 - Statute
HCPCS Type Of Service Code	2 - Surgery
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Coverage Issues Manual Reference Section Number