DRUG AGENDA - May 2015

 

AmnioPro

Request to establish a unique Level II HCPCS code to identify a human amniotic tissue allograft,
Trade Names: AmnioPro™ Membrane, WoundEx™, BioRenew™ and BioSkin™. 
Applicant's suggested language: Q41XX -AmnioPro Membrane, per cm


Background/Discussion:
    Human Regenerative Technologies, LLC, submitted a request to establish a new code to identify  
AmnioPro Membrane.  According to the requester, AmnioPro membrane is a human amniotic tissue allograft, consisting of dehydrated and decellularized human amniotic membrane that has been processed with proprietary HydraTek technology. AmnioPro thin membrane is designed as a single layer wound covering for common wounds, and AmnioPro thick membrane is designed as a thicker single layer wound covering for deeper wounds where tissue bulk is required. It is intended to be used as a wound covering and is surgically applied to the skin in the treatment of chronic acute and surgical wounds. Both products are available in the following sizes:  1x1cm, 1x2cm, 2x2cm, 2x4cm, 4x4cm, 4x6cm, and 4x8cm. The requester comments that a new HCPCS code is warranted because there are no existing codes that describe AmnioPro membrane.

Preliminary Decision:
    Establish QXXXX, AmnioPro, BioSkin, BioRenew, WoundEx Membrane, per square centimeter.

AmnioPro

Request to establish a unique Level II HCPCS code to identify a human placental tissue matrix
allograft, Trade Names:AmnioPro™ Flow, BioSkin Flow, BioRenew Flow and WoundEx Flow.
Applicant's suggested language: Q41XX - AmnioPro Flow, per cc

Background/Discussion:
   Human Regenerative Technologies, LLC submitted a request to establish a code to identify
AmnioPro Flow.  According to the requester, AmnioPro Flow is  a human placental tissue matrix
consisting of decellularized particulate placental connective tissue matrix intended to replace or
supplement damaged or inadequate integument.  AmnioPro Flow is ideal for use in difficult to
reach, irregularly shaped or tunneled wounds. Typically one application is applied per wound;
however it may be reapplied if necessary. AmnioPro Flow is supplied in the following sizes:
0.5cc, 1.0cc, 1.5cc, and 2.0cc vials.

According to the requester, a new HCPCS code to identify AmnioPro Flow is warranted because
there are no existing codes that describe it

Preliminary Decision:
    Establish QXXXX, "AmnioPro Flow, BioSkin Flow, BioRenew Flow, WoundEx Flow, 0.5cc.








Ref: http://www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/Downloads/May-7-2015-DrugAgenda.pdf