2025 HCPCS Code C5277

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; first 100 sq cm wound surface area, or 1% of body area of infants and children

TAGS: wound infants greater first total multiple application substitute equal children 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