ICD-10 Coding for Kerecis Fish Skin Graft(XHRPXF7)
Complete ICD-10-CM coding and documentation guide for Kerecis Fish Skin Graft. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Kerecis Fish Skin Graft
XHRPXF7Primary Range
Replacement of Skin with Bioengineered Allogeneic Construct
Primary code for Kerecis fish skin grafts, classified as bioengineered xenografts.
Key Information: ICD-10 code for Kerecis fish skin graft
Essential facts and insights about Kerecis Fish Skin Graft
Primary ICD-10-CM Code for procedure biological kerecis graft
Decision Criteria
clinical Criteria
- Presence of full-thickness wound requiring biological graft
documentation Criteria
- Prior treatment failure documented
Applicable To
- Kerecis fish skin graft
Excludes
- Synthetic skin substitutes
Clinical Validation Requirements
- Documentation of acellular fish skin graft application
- Wound measurements and prior treatment failure
Code-Specific Risks
- Incorrectly coding as synthetic substitute
Coding Notes
- Ensure documentation specifies 'biological' to avoid confusion with synthetic codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Epifix (Kerecis-specific HCPCS code)
Q4186Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Replacement of Skin with Synthetic Substitute
0HRLXJ3Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Kerecis Fish Skin Graft to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code XHRPXF7.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with payer policies., Financial: Potential claim denials.
Mitigation Strategy
Include detailed treatment history in notes.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate medical records.
Mitigation Strategy
Verify graft type and use XHRPXF7 for biological grafts.
Impact
Using synthetic codes for biological grafts.
Mitigation Strategy
Educate staff on correct code selection.
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 Kerecis Fish Skin Graft, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Kerecis Fish Skin Graft
Use these documentation templates to ensure complete and accurate documentation for Kerecis Fish Skin Graft. These templates include all required elements for proper coding and billing.
Chronic wound requiring Kerecis graft
Specialty: DermatologyRequired Elements
- Wound size and depth
- Prior treatment details
- Graft application specifics
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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