Use of Acellular Dermal Matrix for Soft Tissue Reinforcement

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March 26, 2015

Question:  

What code can I use when I place acellular dermal matrix in a parotid defect? I’ve looked at 15777 and it seems to describe what I’m doing. Is it OK to use this code?

Answer:

CPT 15777 is an add-on code and says: Implantation of biologic implant (e.g., acellular dermal matrix) for soft tissue reinforcement (e.g., breast, trunk) (List separately in addition to code for primary procedure). At first glance this code may seem appropriate to use, however, look closely and you’ll see the statement “e.g., breast, trunk.” This means the code only applies to use in the breast or trunk areas. If the code had indicated “e.g., breast, trunk” then the breast and trunk would be examples of the code use and we could report 15777 for placement into a parotid defect. But this is not the case; therefore, there is no code for placement of an acellular dermal matrix product in a head and neck defect (e.g., parotid, temporal bone area). You could use an unlisted code such as 17999 (Unlisted procedure, skin, mucous membrane and subcutaneous tissue) and compare it to 15777.