C5273 HCPCS - APPLICATION OF LOW COST SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, 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

Code Information

HCPCS Code: C5273

Sequence Number: 0010

Short Description: Low cost skin substitute app

Long Description: Application of low cost skin substitute graft to trunk, arms, legs, 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

Code Added Date: 1/1/2014

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2014

Classification: Temporary Hospital Outpatient Prospective Payment System

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: P5A - Ambulatory procedures - skin
Type Of Service Code:
  • 2 - Surgery
  • F - Ambulatory surgical center (facility usage for surgical services)

Billing Information

Pricing Indicator Code:
  • 53 - Statute
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: D - Special coverage instructions apply
      ASC Payment Group Effective Date:1/1/2014

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code C5273
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Application of low cost skin substitute graft to trunk, arms, legs, 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
      HCPCS Short Description Low cost skin substitute app
      HCPCS Pricing Indicator Code 1 53 - Statute
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Statute Number 1833(t)
      HCPCS Coverage Code D - Special coverage instructions apply
      HCPCS ASC Payment Group Code YY
      HCPCS ASC Payment Group Effective Date 1/1/2014
      HCPCS Berenson-Eggers Type Of Service Code P5A - Ambulatory procedures - skin
      HCPCS Type Of Service Code 1 2 - Surgery
      HCPCS Type Of Service Code 2 F - Ambulatory surgical center (facility usage for surgical services)
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2014
      HCPCS Action Effective Date 1/1/2014
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018