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As a medical coder, you may be bowled over by various questions in your medical coding career. For instance, you may be confused about what HCPCS codes to choose while reporting graft jacket.

Question: You need help with coding debridement of full thickness non-healing foot ulcer with application of 2cc Graft Jacket Express and 4×4 Graft Jacket. What codes should you go for in this direction?

HCPCS codes Q4107 and Q4113 represent services that may be associated with the use of Graft Jacket and Graft Jacket Express, respectively.

They replaced J7344 (Dermal [substitute] tissue of human origin, with or minus other bioengineered or processed elements, without metabolically active elements, per square centimeter) and J7346 (Dermal [substitute] tissue of human origin, injectable with or minus other bioengineered or processed elements, however minus metabolized active elements, 1cc) last year.

Background: A human tissue product, graft jacket is used in fixing large and massive reparable rotator cuff tears.

More references: You can get the coding for skin substitute from the Medicare website.

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Source by James Smith