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ICD-10 Coding for Biological Kerecis Procedure(XHRPXF7, Q4158)

Complete ICD-10-CM coding and documentation guide for Biological Kerecis Procedure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Kerecis Omega3 GraftFish Skin Graft

Related ICD-10 Code Ranges

Complete code families applicable to Biological Kerecis Procedure

XHRPXF7Primary Range

ICD-10-PCS code for Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7

Primary procedure code for Kerecis applications

HCPCS code for Kerecis Omega3 per square centimeter

Ancillary supply code for billing Kerecis applications

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
XHRPXF7Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7Use for all Kerecis applications involving bioengineered constructs
  • Chronic wounds >30 days duration
  • Documented use of bioengineered allogeneic construct
Q4158Kerecis Omega3 per square centimeterUse alongside XHRPXF7 to specify product measurement
  • Documented square centimeters of Kerecis used

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 code for biological Kerecis procedure

Essential facts and insights about Biological Kerecis Procedure

The ICD-10-PCS code for the biological Kerecis procedure is XHRPXF7.

Primary ICD-10-CM Codes for procedure biological kerecis

Replacement of Skin with Bioengineered Allogeneic Construct, External Approach, New Technology Group 7
Non-billable Code

Decision Criteria

clinical Criteria

  • Chronic wound with bioengineered construct application

Applicable To

  • Bioengineered allogeneic construct
  • External approach

Clinical Validation Requirements

  • Chronic wounds >30 days duration
  • Documented use of bioengineered allogeneic construct

Code-Specific Risks

  • Omitting New Technology Group 7 qualifier

Coding Notes

  • Always sequence XHRPXF7 as the primary procedure code

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Kerecis Omega3 per square centimeter

Q4158
Use to document the exact square centimeters of Kerecis applied

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Biological Kerecis Procedure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code XHRPXF7.

Impact

Clinical: Inaccurate representation of treatment, Regulatory: Potential non-compliance with coding standards, Financial: Denial of claims due to insufficient documentation

Mitigation Strategy

Include Omega3 content in documentation, Verify product details before coding

Impact

Reimbursement: Denials due to lack of specificity, Compliance: Non-compliance with coding standards, Data Quality: Inaccurate healthcare data

Mitigation Strategy

Always use specific codes for Kerecis applications

Impact

Incomplete documentation can lead to audit issues

Mitigation Strategy

Use detailed templates and checklists

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 Biological Kerecis Procedure, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Biological Kerecis Procedure

Use these documentation templates to ensure complete and accurate documentation for Biological Kerecis Procedure. These templates include all required elements for proper coding and billing.

Burn Wound Application

Specialty: Surgery

Required Elements

  • Meshing details
  • Debridement method
  • Fixation technique
  • Post-operative care

Example Documentation

Meshed 4:1 using Zimmer dermatome, tangential excision to viable dermal plexus, stapled margins with Mepitel overlay, VAC -125mmHg continuous, changed q72h

Examples: Poor vs. Good Documentation

Poor Documentation Example
Applied skin substitute
Good Documentation Example
Applied 15cm² Kerecis Omega3 SurgiBind meshed 2:1 to debrided lateral thigh wound bed measuring 5×3×0.4cm
Explanation
The good example provides specific details about the product and application method, ensuring accurate documentation and coding.

Need help with ICD-10 coding for Biological Kerecis Procedure? Ask your questions below.

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