CPT® Code 15360

Deleted

1. Indications

The tissue cultured allogeneic dermal substitute is indicated for use in various clinical scenarios where there is a need to cover wounds or skin defects on the trunk, arms, or legs. The following conditions may warrant the application of this procedure:

• Wound Coverage The procedure is performed to provide coverage for acute or chronic wounds that require a biological substitute to promote healing.
• Skin Defects It is indicated for the treatment of skin defects resulting from trauma, surgical procedures, or other medical conditions that compromise the integrity of the skin.
• Burns The dermal substitute may be used in cases of partial-thickness burns where traditional wound care methods are insufficient for optimal healing.
• Congenital Skin Conditions It is also indicated for infants and children with congenital skin conditions that necessitate dermal replacement therapy.

2. Procedure

The procedure for applying a tissue cultured allogeneic dermal substitute involves several critical steps to ensure effective treatment and optimal healing outcomes. The following procedural steps are outlined:

• Preparation of the Wound Bed The first step involves thorough cleaning and debridement of the wound bed to remove any necrotic tissue, debris, or contaminants. This preparation is essential to create an optimal environment for the dermal substitute to adhere and integrate with the surrounding tissue.
• Application of the Dermal Substitute Once the wound bed is adequately prepared, the tissue cultured allogeneic dermal substitute is carefully removed from its transport container. It is then positioned over the wound, ensuring complete coverage of the affected area. The substitute must be placed with precision to maximize contact with the wound bed.
• Securing the Substitute After placement, the dermal substitute is secured in position using sutures or staples. This step is crucial to prevent displacement and to maintain the integrity of the substitute as it begins to integrate with the host tissue.
• Application of Dressings Following the securement of the dermal 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 to absorb any exudate, a compression layer to provide support, and an anti-shear layer to minimize friction and protect the substitute from external forces.

3. Post-Procedure

Post-procedure care is essential to ensure proper healing and to monitor for any complications. After the application of the tissue cultured allogeneic dermal substitute, the patient should be advised on how to care for the dressing and the wound site. Regular follow-up appointments may be necessary to assess the healing process and to change the dressings as needed. It is important to monitor for signs of infection, such as increased redness, swelling, or discharge from the wound site. The healthcare provider may also provide specific instructions regarding activity restrictions to avoid undue stress on the healing area. Overall, the expected recovery will depend on the individual patient's condition and the extent of the wound being treated.