CMS Explorer

15273

APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA GREATER THAN OR EQUAL TO 100 SQ CM; FIRST 100 SQ CM WOUND SURFACE AREA, OR 1% OF BODY AREA OF INFANTS AND CHILDREN
outpatient 42 diagnoses

Covered & non-covered ICD-10 diagnoses

ICD-10 CodeDiagnosisCoverage
E08.621 Diabetes mellitus due to underlying condition with foot ulcer covered
E09.621 Drug or chemical induced diabetes mellitus with foot ulcer covered
E10.621 Type 1 diabetes mellitus with foot ulcer covered
E11.621 Type 2 diabetes mellitus with foot ulcer covered
E13.621 Other specified diabetes mellitus with foot ulcer covered
I83.011 Varicose veins of right lower extremity with ulcer of thigh covered
I83.012 Varicose veins of right lower extremity with ulcer of calf covered
I83.013 Varicose veins of right lower extremity with ulcer of ankle covered

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