Coding Information

This section contains suggested billing codes for PuraPly™ and PuraPly™ Antimicrobial. These codes are provided for your information only. We always recommend that you check with your local carrier, Fiscal Intermediary (FI), Medicare Administrative Contractor (MAC), or other payer to verify coding and billing requirements.

HCPCS Product Code

Type of code/service rendered Code Description
PuraPly and PuraPly Antimicrobial Q4172 PuraPly and PuraPly Antimicrobial, any type, per square centimeter

Hospital Cost Center/Revenue Codes

Type of code/service rendered Code Description
Q4172 636 Drugs requiring detailed coding
15271-15278 360 Operating room services

Modifiers & MUEs

CPT Procedure Codes

Code Description
15271 Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
15272 Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)
15273 Application of 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
15274 Application of 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 (List separately in addition to code for primary procedure)
15275 Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
15276 Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)
15277 Application of 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
15278 Application of 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; each additional 100 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)

These codes are provided for your information only. Use of these codes is not a guarantee of payment. You should select the most appropriate code for the procedure performed. Coding practice will vary by site of care, patient condition, range of services provided, local carrier instructions, and other factors. Most Carriers have established specific policies for office claims including payment for PuraPly and PuraPly Antimicrobial, along with the professional service component. Coding requirements are subject to change at any time. Check with your local payer or call the PuraPly Antimicrobial Reimbursement Hotline at 1-888-432-5232 (option #3) if you require additional information.