Common questions

How much does apligraf cost?

How much does apligraf cost?

The cost of Apligraf is $1,000 to $1,200 per use. In a 2000 study by Attilasoy, a higher percentage of wounds were healed with Apligraf (55 percent) compared to the control (40 percent). Chronic venous leg ulcers were healed to complete closure with an average of 1.41 applications of Apligraf.

How is apligraf applied?

Place Apligraf® directly over the wound, glossy side down, so the edges overlap with the wound edges. Using a saline-moistened cotton tip applicator, smooth Apligraf® onto the wound bed so there are no pockets or wrinkled edges. Adequately secure Apligraf® to ensure contact with the wound bed.

What is apligraf?

Apligraf® (Organogenesis, Canton, MA) is a bi-layered bioengineered skin substitute and was the first engineered skin US Food and Drug Administration (FDA)-approved to promote the healing of ulcers that have failed standard wound care.

What CPT codes can be billed with modifier 95?

What CPT Code Do I Use With the 95 Modifier? This is billed with standard mental health CPT codes like 90791, 90834, or 90837.

When to use Apligraf as a billing code?

Coding practice will vary by site of care, patient condition, range of services provided, local carrier instructions, and other factors. Most MACs have established specific policies for office claims including payment for Apligraf along with the professional service component. Coding requirements are subject to change at any time.

What is the medical coding for Apligraf skin graft?

A: Hopefully, Apligraf Skin Graft is something you’re interested in. This has to do with the skin grafts, and now with modern technology, manmade skin grafts are being used very frequently.

Where can I get Apligraf for my Mac?

Most MACs have established specific policies for office claims including payment for Apligraf along with the professional service component. Coding requirements are subject to change at any time. Check with your local payer or call the Apligraf hotline at 1-888-HEAL-2-DAY (select option 3) if you require additional information.

Is the skin substitute in Apligraf getting paid?

I am following the Apligraf rep’s advice when coding apligraf application. The skin substitute (Q4101) is getting paid just fine but not the application (15340). Anyone care to help?