ICD-10 Coding for Biologic Kerecis Grafts(0HRLXJ3, XHRPXF7, Q4158)
Complete ICD-10-CM coding and documentation guide for Biologic Kerecis Grafts. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Biologic Kerecis Grafts
Replacement of Left Lower Leg Skin with Synthetic Substitute
Used for full-thickness defects requiring durable coverage, but not specific for biologic xenografts.
Replacement of Skin with Bioengineered Allogeneic Construct
Applicable for chronic wounds failing standard care, but not specific for xenografts.
Q4158Primary Range
Kerecis Omega3 Fish Skin Graft
Specific HCPCS code for Kerecis product, used for billing the graft material.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| 0HRLXJ3 | Replacement of Left Lower Leg Skin with Synthetic Substitute | Use for full-thickness defects requiring synthetic substitutes. |
|
| XHRPXF7 | Replacement of Skin with Bioengineered Allogeneic Construct | Use for chronic wounds failing standard care. |
|
| Q4158 | Kerecis Omega3 Fish Skin Graft | Use for billing the Kerecis Omega3 product. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 procedure code for biologic Kerecis grafts
Essential facts and insights about Biologic Kerecis Grafts
Primary ICD-10-CM Codes for procedure biologic kerecis grafts
Decision Criteria
clinical Criteria
- Full-thickness skin defect present
Applicable To
- Full-thickness defects
- Burns
- Traumatic avulsions
Excludes
- Partial-thickness defects
Clinical Validation Requirements
- Full-thickness skin loss
- Need for durable coverage
Code-Specific Risks
- Incorrectly coding biologic grafts as synthetic
Coding Notes
- Ensure the defect is full-thickness before using this code.
XHRPXF7 - Replacement of Skin with Bioengineered Allogeneic Construct
Use for chronic wounds failing standard care.
Applicable To
- Chronic wounds
- Diabetic foot ulcers
- Venous leg ulcers
Excludes
- Acute wounds
Clinical Validation Requirements
- Chronic wound with ≥3 months duration
- Failure of standard wound care
Coding Notes
Verify wound chronicity and previous treatment failures.
Q4158 - Kerecis Omega3 Fish Skin Graft
Use for billing the Kerecis Omega3 product.
Applicable To
- Kerecis Omega3 product
- Fish skin xenograft
Clinical Validation Requirements
- Documentation of product application
- Wound size and location
Coding Notes
Ensure accurate measurement and documentation of product used.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Replacement of Left Lower Leg Skin with Synthetic Substitute
0HRLXJ3Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Biologic Kerecis Grafts to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0HRLXJ3.
Impact
Clinical: Inadequate treatment records, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Include product name, size, and lot number in notes
Impact
Reimbursement: Potential denial of claims due to incorrect coding, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Verify the graft type and use the appropriate code for biologic xenografts.
Impact
Inadequate documentation of product usage and waste.
Mitigation Strategy
Ensure detailed records of product application and any wastage.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Biologic Kerecis Grafts, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Biologic Kerecis Grafts
Use these documentation templates to ensure complete and accurate documentation for Biologic Kerecis Grafts. These templates include all required elements for proper coding and billing.
Application of Kerecis Graft to Chronic Wound
Specialty: Wound CareRequired Elements
- Wound size and location
- Product details
- Application method
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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