The amnion is comprised of five layers of collagen and fibronectin and is tough, transparent, nerve-free, and nonvascular. 2012;40(10):2248-55. 2012;130(5 Suppl 2):216S-224S. Newport News, VA: Soluble Systems; revised August 10, 2011. Guerrero KL, Emery SJ, Wareham K, et al. Filgate R, Thomas A, Ballal M. Treatment of foregut fistula with biologic plugs. J Cutan Med Surg. Sare JL. Wound Repair Regen. Burns. Systematic review and meta-analysis of the use of fibrin sealant to prevent seroma formation after breast cancer surgery. Implant Dent. Ann Plast Surg. 2022;19(4):932-944. Vermeulen H, van Hattem JM, Storm-Versloot MN, Ubbink DT. Foot Ankle Spec. Patients who received either a bilayer cellular construct (BLCC), dermal skin substitute (DSS), or cryo-preserved human skin allograft (CHSA) were concurrently matched for Charlson Comorbidity Index (CCI), age, sex, and region, resulting in 14,546 study patients. Podiatry Today. Brown TJ, Alcorn D, Fraser JR. Absorption of hyaluronan applied to the surface of intact skin. Effect of acellular human dermis buttress on laparoscopic hiatal hernia repair. Adv Skin Wound Care. J Pediatr Surg. Am J Obstet Gynecol. Closure of large skull base defects after endoscopic transnasal craniotomy. Commercial extracellular matrix scaffolds for rotator cuff tendon repair. Eppley BL, Pietrzak WS, Blanton M. Platelet-rich plasma: A review of biology and applications in plastic surgery. Comparative Effectiveness Review No. Eligible children were enrolled and randomized, stratified by burn thickness, to be dressed in an ointment-based dressing or Mepitel Ag. Promethean LifeSciences, Inc. GammaGraft [website]. Horizon Scanning Prioritising Summary. Sheikh ES, Sheikh ES, Fetterolf DE. Gore DC. J Plast Reconstr Aesthet Surg. London, UK: NICE; June 2008. Scapholunate ligament reconstruction using an acellular dermal matrix:A mechanical study. Br J Surg. Aldehyde-treated porcine skin versus biobrane as biosynthetic skin substitutes for excised burn wounds: Case series and review of the literature. ANZ J Surg. SBU Alert. Public Meeting for Code Applications for Non-Drug and Non-Biological Items and Services Submitted to CMS 1st 2021 Biannual HCPCS Coding Cycle. Surgeon. Comparision of clinical and histopathological results of hyalomatrix usage in adult patients. J Otolaryngol Head Neck Surg. Analysis of run-in and treatment data in a wound outcomes registry: Clinical impact of topical platelet-rich plasma gel on healing trajectory. Adv Skin Wound Care. one of the skin application procedures described by HCPCS code C5271-C5278. A preliminary study on the effects of acellular tissue graft augmentation in acute Achilles tendon ruptures. 2020;1-18. London, UK: BMJ Publishing Group;October 2008. Galloway T, Amdur RJ. Factors influencing success of pelvic organ prolapse repair using porcine dermal implant Pelvicol. Significant differences were observed between ReCell and Control donor sites. J Comp Eff Res. 2008;60(2):181-185. Gilot GJ, Alvarez-Pinzon AM, Barcksdale L, et al. J Med Case Rep. 2014;8:251. 2009;22(2):68-71. 2014;22(6):688-693. Suprathel is a composed entirely of synthetic materials, including a tripolymer of polyactide, trimethylene carbonate and caprolactone. Schwarze H, Kuntscher M, Uhlig C,et al. ; Infectious Diseases Society of America. Plast Reconstr Surg. Cultured epidermis for the coverage of massive burn wounds. The mean number of TheraSkin allografts required ranged from 1 to 8, with an average of 2.03 ( 1.47) at the 12-week point and an average of 3.23 ( 2.77) at the 20-week point. Parra MW, Rodas EB, Niravel AA. Dressings for acute and chronic wounds: A systematic review. Nilsson A, Liljensten E, Bergstrm C, Sollerman C. Results from a degradable TMC joint Spacer (Artelon) compared with tendon arthroplasty. Clinical and in vitro responses of bilayered skin construct (graftskin) to meshing. Signature APatch can be used in combination with tissue adhesives or semi-wet dressings for allograft application if necessary. Last reviewed December 2022. Among the subset of wounds that healed during the first 12 weeks of treatment, an average of 4.36 (range 27) HSA grafts were applied versus 8.92 (range 612) in the HFDS subset (P <0.0001, SE 0.77584). Full-thickness diabetic foot ulcers greater than 6-week duration that extend through the dermis, but without tendon, muscle, joint capsule or bone exposure. Cell Tissue Bank. Graft choices for acetabular labral reconstruction. A tale of two (anal fistula) plugs: Is there a difference in short-term outcomes? Br J Surg. 2002;3(7):507; author reply 507-508. J Wound Care. They are available in 0.5 cc, 1 cc and 2 cc dose sizes. 2011;8(6):638-650. Acellular Matrices are the most frequently used skin substitute. Burn News. Optimal treatment of partial thickness burns in children:A systematic review. J Reconstr Microsurg. Centers for Medicare & Medicaid Services (CMS), Healthcare Common Procedure Coding System (HCPCS). Adv Orthopedic Surg. The surgeon then thaws the product and stretches it over a burn site. 2020;29(2):392-401, Mihata T, Lee TQ, Watanabe C, et al. Abdel-Fattah M, Barrington JW, Arunkalaivanan AS. 2014;148(5):2216-2224, 2225. Prepared by the New England Medical Center Evidence-based Practice Center (EPC) for the Agency for Healthcare Research and Quality (AHRQ) under contract no. 2008;198(5):557.e1-e5. Surg Neurol Int. Yu S, Jastrow K, Clapp B,et al. 2020;9(1):23-34. Incidence and management of vaginal extrusion of acellular porcine dermis after incontinence and prolapse surgery. TissueMend soft tissue repair matrix. 2011;24(7):306-311. Sahoo S, DeLozier KR, Erdemir A, Derwin KA. Waymack P, Duff RG, Sabolinski M. The effect of a tissue engineered bilayered living skin analog, over meshed split-thickness autografts on the healing of excised burn wounds. fibrin glue spray applied to the axillary fossa plus placement of closed suction drainage were used in 80 patients (group A), and. Collagen matrix (DuraGen) in dural repair: Analysis of a new modified technique. Tendon augmentation grafts: Biomechanical failure loads and failure patterns. 2000;26(7):609-619. Guy JS, Miller R, Morris JA Jr, et al. Choi JY, Kim SH, Oh GJ,et al. Mostow EN, Haraway GD, Dalsing M, et al. Theprocessed membrane is fenestrated and cut into various sizes, and presented in asterilized, dehydrated sheet graft form. A morphological and biochemical analysis comparative study of the collagen products Biopad, Promogram, Puracol, and Colactive. J Wound Care. A systematic review of silver-containing dressings and topical silver agents (used with dressings) for burn wounds. The investigators reported that complete wound closure at 12 weeks, the primary study endpoint, was not significantly associated with treatment per protocol [Active 11 (52.3%), Sham 8 (38.1%), RR 1.38 (95% CI 0.7, 2.7), p = 0.54]. AmnioCore delivers essential growth factors on a structural protein matrix, with superior handling properties. Int Wound J. Exp Clin Endocrinol Diabetes. 2003;24(1):42-48. 2009;39(6):787-799. Bowering CK. A clinical evaluation of Biobrane() and Suprathel() in acute burns and reconstructive surgery. Browne AC, Vearncombe M, Sibbald RG. Stilwell and Delaney (2022b) stated that dermal acellular matrices may be used to replace or repair integumental soft tissue compromised by disease, injury or surgical procedures. 1990;211(6):676-679. 2014;77(3 Suppl 2):S204-S207. 2004;13(5):193-197. A previously discounted flap now reconsidered: MatriDerm and split-thickness skin grafting for tendon cover following dorsalis pedis fasciocutaneous flap in lower limb trauma. ProMatrX ACF is amniotic membrane and fluid suspended in liquid. Aziz Z, Abu SF, Chong NJ. Renner R, Simon JC. Endoscopic endonasal treatment of a spontaneous temporosphenoidal encephalocele with a detachable silicone balloon. 2 EpiFlo oxygen generators that provided oxygen at 6 ml/hr into an occlusive wound dressing, or, examined the clinical efficacy of a pressurized topical oxygen therapy (TWO(2)) device in outpatients (n = 28) with severe diabetic foot ulcers (DFU) referred for care to a community wound care clinic; and. Cintron JR, Abcarian H, Chaudhry V,et al. 2006;22(5):534-538. Once implanted, Strattice promotes rapid revascularization [cell repopulation and white cell migration] and provides for management and strong repair ofpartial and full thickness wounds; pressure ulcers; venous ulcers; diabetic ulcer; chronic vascular ulcers; tunneled/undermined wounds; surgical wounds; trauma wounds; draining wounds; or other bleeding surface wounds. Podiatr Manag. The use of bioabsorbable staple-line reinforcement performing stapled hemorrhoidopexy to decrease the risk of postoperative bleeding. Hammond TM, Porrett TR, Scott SM,et al. 2011;128(1):163-172. Montreal, QC: AETMIS; 2000. 2022a;10(12):e4707. Int Wound J. It is an acellular dermal tissue matrix derived from fetal or neonatal bovine dermis and is intended for implantation to reinforce soft tissue where weakness exists and for the surgical repair of damaged or ruptured soft tissue membranes. Hom DB. There were no adverse events (AEs) directly related to the graft; and 0 major amputations and 1 minor amputation occurred. It is highly permeable to oxygen and water vapor, providing a particularly favorable environment for wound healing. Arch Surg. J Shoulder Elbow Surg. Newport News, VA: Soluble Systems; revised April 22, 2011. 2021 Jun;47(4):838-846. Guiding practice improvements in pediatric surgery using multidisciplinary clinical pathways. 2003;18(1):93-103. Maxson S, Lopez EA, Yoo D, et al. The authors concluded that from their experience with the patients in the present case series, they believed that granulized amniotic membrane and amniotic fluid represents a useful option for the treatment of chronic diabetic foot wounds. It is supplied in 2 x 2 cm, 2 x 3 cm, 4 x 4 cm, 4 x 6 cm, and 6 x 8 cm sheets. Orthopedics. 2010;100(1):73-77. 2006;(1):CD005082. The authors stated that one drawback of this study was that all data were extracted retrospectively from electronic medical records (EMRs), which could lead to some potential inaccuracies if a provider did not document the condition and treatments of the wound properly. 2019;31(3):68-74. 2009;2(6):299-302. Landsman AS, Cook J, Cook E, et al. Losken A. Wound healing with "spray-on" autologous skin grafting (ReCell) compared with standard care in patients with large diabetes-related foot wounds: An open-label randomised controlled trial. Artificial skin grafts in chronic wound care: A meta-analysis of clinical efficacy and a review of cost-effectiveness. 2016;16:229. 2013;(8):CD009099. 2016;18(3):286-294. Fischel RJ, McKenna RJ Jr. Przegl Lek. Suprathel is also available in hand-shaped pads that can be used on the flexor and/or exterior side of the hand. Saray A. Porcine dermal collagen (Permacol) for facial contour augmentation: Preliminary report. High bacterial load in asymptomatic diabetic patients with neurotrophic ulcers retards wound healing after application of Dermagraft. Baartmans MG, Dokter J, den Hollander JC, et al. Armstrong DG, Orgill DP, Galiano RG, et al. The authors concluded that the findings of this study presented the largest reported series of patients undergoing a 3-level ACDFP by a single surgeon with close follow-up, and suggested that 3-level ACDFP utilizing a standardized modified Smith-Robinson technique had an acceptably high level of fusion in comparison to other modalities. Mansfield, MA: Covidien; 2009. Comparison of Suprathel and allograft skin in the treatment of a severe case of toxic epidermal necrolysis. The Provant Wound Closure System (Regenesis was cleared by the FDA as a wound healing device based on a 510(k) premarket notification. Arch Orthop Trauma Surg. Eaglstein WH, Falanga V. Tissue engineering for skin: An update. 2009;11(6):584-587. 201928(3):530-538. Use of small intestinal submucosa graft for the surgical management of Peyronie's disease. Grade 4 cystocele repair using four-defect repair and porcine xenograft acellular matrix (Pelvicol): Outcome measures using SEAPI. Supra SDRM is composed of a tripolymer of polylactide, trimethylene carbonate, E-caprolactone and polyvinyl alcohol. Cochrane Database Syst Rev. XCellerate is a human cellular and tissue-based product. The OrthoIllustrated animation for augmenting the repair of damaged tissue with Arthrex Amnion matrix is an educational tool to help patients better understand this treatment. Talymed is placed on the open wound and covered with a transparent dressing. Mulder G, Lee DK. J Tissue Eng Regen Med. 24-month results of the BRAVO study: A prospective, multi-center study evaluating the clinical outcomes of a ventral hernia cohort treated with OviTex 1S permanent reinforced tissue matrix. Colorectal Dis. Baseline patient (body mass index, age, gender, race, type and duration of diabetes, presence of neuropathy and/or peripheral arterial disease, tobacco use) and wound characteristics (size and duration) were recorded, and follow-up visits occurred every week for up to 20 weeks. 2013;(2):CD005083. 2012;(10):CD006899. 2007;18(11):1337-1341. 2008;10(5):339-344. Int Braz J Urol. O'Donnell TF Jr, Lau J. George RS, Kostopanagiotou K, Papagiannopoulos K. The expanded role of extracellular matrix patch in malignant and non-malignant chest wall reconstruction in thoracic surgery. Colorectal Dis. A novel reticular dermal graft leverages architectural and biological properties to support wound repair. Health Technol Assess. American Medical Association Technology News. According to the requester, this product has a significant therapeutic distinction over similar products in that it offers the following characteristics: As noted by the authors, limitations of this study included: Bakri and colleagues (2008) tested the hypothesis that local transdermal delivery of oxygen improves oxygenation in sternotomy wounds after cardiac surgery; the secondary hypothesis was that supplemental inspired oxygen improves sternal wound PsqO(2). abdominal and thoracic wall repair, muscle flap reinforcement, rectal and vaginal prolapse repair, urinary incontinence treatment, reconstruction of the pelvic floor, and repair of hernias (e.g., diaphragmatic, femoral, incisional, inguinal, lumbar, paracolostomy, scrotal, umbilical). Dessy LA, Mazzocchi M, Rizzo MI, et al. Arthroscopic interposition arthroplasty of the first carpometacarpal joint. Comparative analysis of urinary incontinence severity after autologous fascia pubovaginal sling, pubovaginal sling and tension-free vaginal tape. 2012;34(1):88-93. Hubik DJ, Wasiak J, Paul E, Cleland H. Biobrane:A retrospective analysis of outcomes at a specialist adult burns centre. 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. 2019;77(10):2127.e1-2127.e11. 2023;315(1):17-31. Another drawback was that the database did not include specific measures of vascularity or hemoglobin A1c (HbA1c), and this may have contributed to the differences in the healing rates observed. These products are supplied in single use packaging in sizes ranging from .786 to 486 sq. While their observed healing times in general support the overall accuracy of their clinical judgment, future studies should involve objective assessment tools, such as laser Doppler, to further improve diagnostic precision and group comparability. Leboeuf L, Miles RA, Kim SS, Gousse AE. 2013;47(6):451-453. Wounds. 2011;39(4):804-810. Landsman et al (2010) evaluated the safety and efficacy of TheraSkin in a retrospective study of 188 patients with either a diabetic foot ulcer (n = 54) or a venous leg ulcer (n = 134). Lavery LA, Niederauer MQ, Papas KK, Armstrong DG, Does debridement improve clinical outcomes in people with DFU ulcers treated with CDO? 2015;19(1):135-140. Guo Y, Chen G, Tian G, Tapia C. Sensory recovery following decellularized nerve allograft transplantation for digital nerve repair. Burns. According to the manufacturer, Cell Constructs I, LLC., ProgenaMatrix is a graft matrix composed of human keratin proteins selectively extracted from human hair. 2013;97 Suppl 1:63-68. Inclusion criteria were that studies should have reported on: Apligraf has has received a premarket approval (PMA) by the U.S. Food and Drug Administration (FDA) in 1998 for treatment of venous leg ulcers and in 2001 for treatment of diabetic ulcers. Arch Facial Plast Surg. Concise review: Role of mesenchymal stem cells in wound repair. Antibiotic ointment versus a silver-based dressing for children with extremity burns: A randomized controlled study. Preliminary experience in the use of an extracellular matrix to repair congenital heart diseases. Silver-coated dressing acticoat caused raised liver enzymes and argyria-like symptoms in burn patient. 2014;148(4):1370-1378. J Cell Physiol. Treatment of anterior vaginal wall prolapse with porcine skin collagen implant by the transobturator route: Preliminary results. The study focused on patient painscore, healing time, analysis of wound bed, ease of care, andtreatment costs. Diaz JJ Jr, Guy J, Berkes MB, et al. Clin Podiatr Med Surg. The minimally-processed bilayer allograft contains collagen types IV, V, and VII that will promote cellular differentiation and wound healing. 270-97-0019. J Periodontol. Sultan AA, Samuel LT, Roth A, et al. PuraPly AM and PuraPly are supplied in a single-layer or double-layer fenestrated sheet of porcine intestinal collagen, approximately 0.05 to 0.07 rnm in thickness. The effect of amelogenins (Xelma) on hard-to-heal venous leg ulcers. 2013;23(1):e38-e40. 2002;97(5):1212-1216.2: Bowers CA, Brimley C, Cole C,et al. REGUaRD contains extracellular matrix (ECM) that provides a scaffold for cellular ingrowth vascularization, tissue regeneration and formation of granulation tissue. Porcine-derived polypropylene composite wound dressing (eg, Avaulta Plus), PRISMA matrix wound dressing, Pro3-C amniotic membrane, Promogran, Puracol, Puros Dermis, ReNu (amniotic membrane and fluid allograft), RHEO (BioStem Life Sciences, Inc.), Repliform, Seamguard, Solana allograft, Sonafine wound dressing, SportMatrix, SportMesh, Sterishield II Dual Layer Amnion Patch, Stravix, Viaflow Placental Tissue Matrix, StrataGraft, Surgisis (including Surgisis AFP Anal Fistula Plug, Surgisis Gold Hernia Repair Grafts, and Surgisis Biodesign), TissueMend, Tornier BioFiber Absorbable Biological Scaffold, Tornier Collagen Coated BioFiber Scaffold, Vaso Shield, Vendaje AC (BioStem Life Sciences, Inc.), Viaflow C Flowable Placental Tissue Matrix, Vitagel Surgical Heomstat, Xelma, X-Repair, XenMatrix, ACM Surgical Collagen, ACM Surgical Extra Advanced Collagen, ACM Surgical Extra Advanced Collagen Powder, AlphaGems, AltiPlast, Ambio Choice, AmnioCord, AmnioFill, Amnios, AmnyoFluid, Aquacel Ag, Arthrex Amnion Matrix, Arthrex Amnion Viscous, BioFix Flow Placental Tissue Matrix Allograft, Colla-Pad, CollaSorb, CollaWound, Collexa, Fluid GF, Grafix cryo-preserved placental membrane, GraftJacket RTM, InteguPly, Kerasorb Wound Matrix, Merigen, Ologen, Omega3 Wound, Omega3 Wound Matrix, Puracol Plus, Renuva, Restrata, Stravix PL, TheraForm and VersaWrap Tendon Protector, Bioinductive implant regeneten, Cellgenuity amniotic fluid, Cryotext and Dermis on demand (DOD) allografts, Myriad morcells, Paraderm dermal matrix, Mirragen Advanced Wound Matrix, per sq cm, Bio-connekt wound matrix, per square centimeter, NovoSorb SynPath dermal matrix, per sq cm, Phoenix wound matrix, per square centimeter, Kerecis omega3 marigen shield, per square centimeter, Skin substitute, fda cleared as a device, not otherwise specified, Topical hyperbaric oxygen chamber, disposable [TransCu O2] [EO2 Concepts], Alginate or other fiber gelling dressing, wound cover, sterile, Foam dressing, wound cover, sterile, each dressing, Autograft suspension, including cell processing and application, and all system components [RECELL Autologous Cell Harvesting Device (RECELL)], Microporous collagen implantable tube (NeuraGen Nerve Guide), per cm length, Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per cm length, Acellular pericardial tissue matrix of nonhuman origin (Veritas), per sq cm, Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex), OASIS ultra tri-layer wound matrix, per sq cm, MemoDerm, DermaSpan, TranZgraft or InteguPly, per square centimeter, Amniomatrix or biodmatrix, injectable, 1 cc, Architect, architect PX, or architect FX, extracellular matrix, per sq cm, Neox Cord 1K, Neox Cord RT, or Clarix Cord 1K, per sq cm, Cytal, per square centimeter[Cytal Burn Matrix, Cytal Wound Matrix], Palingen or palingen xplus, per square centimeter, Palingen or promatrx, 0.36 mg per 0.25 cc, Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc, Membrane Graft or Membrane Wrap, per sq cm, Axolotl Graft or Axolotl DualGraft, per sq cm, WoundFix, BioWound, WoundFix Plus, BioWound Plus, WoundFix Xplus or BioWound Xplus, per sq cm, Human health factor 10 amniotic patch (hhf10-p), per square centimeter, MyOwn Skin, includes harvesting and preparation procedures, per sq cm, CoreCyte, for topical use only, per 0.5 cc, PolyCyte, for topical use only, per 0.5 cc, Celera dual layer or celera dual membrane, per square centimeter, Dual layer impax membrane, per square centimeter, Interphalangeal joint spacer, silicone or equal, each, Bilateral and unilateral primary osteoarthritis of first carpometacarpal [trapezio-metacrpal joint osteoarthritis], Bilateral and unilateral post-traumatic osteoarthritis and other bilateral and unilateral secondary osteoarthritis of first carpometacarpal [trapezio-metacrpal joint osteoarthritis], Primary osteoarthritis [trapezio-metacarpal joint osteoarthritis], Post-traumatic osteoarthritis, hand [trapezio-metacarpal joint osteoarthritis], Secondary osteoarthritis, hand [trapezio-metacarpal joint osteoarthritis], Spontaneous rupture of extensor tendons, upper arm and shoulder, Sprain and strain of rotator cuff (capsule), Musculoskeletal system [not covered for prevention of adhesions after orthopedic surgery], Corneal disorder due to contact lens [corneal wound], Injury of conjunctiva and corneal abrasion without foreign body [corneal wound], Other injuries of eye and orbit [corneal wound], M24.811 - M4.819, M25.211 - M25.219, M25.311 - M25.310, Other joint derangement, NEC, involving shoulder region, Unspecified open wounds of shoulder [open dislocation], Subluxation and dislocation of acromioclavicular (joint), Subcutaenous injection of filling material (e.g., collagen), Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia), Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs 50 cc or less injectate, each additional 50 cc injectate, or part there of (List separately in addition to code for primary procedure), Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate, each additional 25 cc injectate, or part thereof (List separately in addition to code for primary procedure), Injection(s), platelet rich plasma, any tissue, including image guidance, harvesting and preparation when performed, Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image guidance, harvesting and preparation, when performed, Procuren or other growth factor preparation to promote wound healing, Nerve repair; with nerve allograft, each nerve, first strand (cable), Nerve repair; with nerve allograft, each additional strand (List separately in addition to code for primary procedure), Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular, Cymetra, injectable, 1 cc [for vocal cord paralysis - see CPB 253], Insertion of tissue expander(s) for other than breast, including subsequent expansion, Collagen nerve cuff (neuromatrix), per 0.5 centimeter length, Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length, Integra Flowable Wound Matrix, injectable, 1 cc, Porcine implant, Permacol, per square centimeter, Application of a modality to one or more areas; electrical stimulation, (manual), each 15 minutes, Electrical stimulation, (unattended), to one or more areas, for chronic Stage III and Stage IV pressure ulcers, arterial ulcers, diabetic ulcers, and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care, as part of a therapy plan of care [if billed for Provant or MicroVas], Electrical stimulation, (unattended), to one or more areas, for wound care other than described in G0281 [if billed for Provant or MicroVas], Dermal substitute, native, non-denatured collagen (SurgiMend Collagen Matrix), per 0.5 square centimeters, Dermal substitute, native, non-denatured collagen, neonatal bovine origin (SurgiMend Collagen Matrix), per 0.5 square centimeters, 23405 - 23406, 24300 - 24342, 25260 - 25316, 26350 - 26502, 26510, 27097 - 27098, 27380 - 27400, 27650 - 27692, 28200 - 28262, Repair, revision, and/or reconstruction, tendon, 24357 - 24359, 26060, 27000 - 27006, 27306 - 27307, 27605 - 27606, 28010 - 28011, Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (Tenoglide Tendon Protector Sheet), per square centimeter, Injury to nerves and spinal cord [Codes not listed due to expanded specificity].

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