CPT® Code 15341

Deleted

1. Indications

The tissue cultured allogeneic skin substitute is indicated for use in various clinical scenarios where there is a need to cover a wound or skin defect. The following conditions may warrant the application of this procedure:

• Wound Coverage The procedure is performed to cover acute or chronic wounds that require a biological dressing to promote healing.
• Skin Defects It is indicated for skin defects resulting from surgical procedures, trauma, or other medical conditions that compromise the integrity of the skin.
• Burns The skin substitute is utilized in the treatment of burn injuries, providing a protective layer that aids in recovery.

2. Procedure

The application of a tissue cultured allogeneic skin substitute involves several key procedural steps that ensure effective coverage and healing of the wound. The following steps outline the procedure:

• Step 1: Wound Assessment The clinician begins by assessing the size and condition of the wound or skin defect. Accurate measurement is crucial to determine the amount of tissue cultured allogeneic skin substitute required for adequate coverage.
• Step 2: Preparation of the Skin Substitute Once the wound is assessed, the appropriate amount of tissue cultured allogeneic skin substitute is obtained. This substitute is typically fenestrated, which involves creating a series of holes or openings in the material to allow for drainage and integration with the surrounding tissue.
• Step 3: Application to the Wound Bed The fenestrated skin substitute is then carefully applied to the prepared wound bed. It is important to ensure that the substitute adheres properly to the wound surface to facilitate healing.
• Step 4: Securing the Substitute After placement, the skin substitute is secured in position using sutures. This step is essential to maintain the integrity of the substitute and prevent displacement during the healing process.
• Step 5: Dressing Application Following the securement of the skin substitute, a layered dressing is applied. This dressing typically consists of a nonadherent layer to prevent sticking to the wound, a bulky layer of gauze for absorption, a compression layer to manage swelling, and an anti-shear layer to reduce friction and protect the area.

3. Post-Procedure

Post-procedure care is critical to ensure optimal healing and minimize complications. After the application of the tissue cultured allogeneic skin substitute, the patient should be monitored for any signs of infection or adverse reactions. The dressing should be kept clean and dry, and the clinician may provide specific instructions regarding when to change the dressing and how to care for the wound. Follow-up appointments are typically scheduled to assess the healing progress and determine if additional treatments or interventions are necessary. The expected recovery time may vary depending on the size and severity of the wound, as well as the patient's overall health and response to the skin substitute.