CPT® Code 15365

Deleted

1. Indications

The tissue cultured allogeneic dermal substitute is indicated for use in patients with skin defects or wounds located on specific areas of the body. These areas include:

• Face Wounds or defects on the facial skin that require coverage and support for healing.
• Scalp Injuries or surgical sites on the scalp that need a dermal substitute for proper healing.
• Eyelids Skin defects on the eyelids that necessitate a specialized substitute to promote recovery.
• Mouth Wounds or lesions in the oral cavity that require dermal coverage.
• Neck Skin defects on the neck area that need a dermal substitute for healing.
• Ears Injuries or defects on the ears that require coverage with a dermal substitute.
• Orbits Wounds around the eye orbits that necessitate a dermal substitute for protection and healing.
• Genitalia Skin defects in the genital area that require a specialized dermal substitute.
• Hands Wounds or defects on the hands that need coverage for healing.
• Feet Skin defects on the feet that require a dermal substitute for recovery.
• Multiple Digits Injuries or defects affecting multiple fingers or toes that necessitate a dermal substitute.

2. Procedure

The procedure for applying a tissue cultured allogeneic dermal substitute involves several critical steps to ensure proper placement and healing. First, the wound bed must be adequately prepared, which may include cleaning the area and removing any necrotic tissue to create an optimal environment for the dermal substitute. Once the wound bed is prepared, the tissue cultured allogeneic dermal substitute is carefully removed from its transport container. It is essential to handle the substitute gently to maintain the integrity of the living cells within it. The substitute is then positioned over the prepared wound bed, ensuring that it adequately covers the defect. After placement, the dermal substitute is secured in place using sutures or staples, which help to anchor it and prevent movement during the healing process. Following the securement of the substitute, a layered dressing is applied to protect the area and facilitate healing. This dressing typically consists of a nonadherent layer that prevents sticking to the substitute, a bulky layer of gauze to absorb any exudate, a compression layer to minimize swelling, and an anti-shear layer to reduce friction and movement. This comprehensive approach ensures that the dermal substitute remains in place and promotes optimal healing conditions.

3. Post-Procedure

After the application of the tissue cultured allogeneic dermal substitute, post-procedure care is crucial for ensuring successful healing. The layered dressing should remain intact for a specified period, as directed by the healthcare provider, to protect the substitute and the underlying wound. Patients may be advised to monitor the site for any signs of infection, such as increased redness, swelling, or discharge. Follow-up appointments may be scheduled to assess the healing process and determine if any additional interventions are necessary. It is important to follow the healthcare provider's instructions regarding activity restrictions and care of the dressing to promote optimal recovery. The expected recovery time may vary depending on the size and location of the wound, as well as the individual patient's healing response.