#: OF1-000179-en-USVersion: FLanguage: EnglishRevision Date: 02/22/2023 2023 Coding and Reimbursement Guidelines for the IntraOsseous BioPlasty TechniqueFile Type: Ref. 2015;21(2):119-124. Histological analysis of DuraGen in a human subject: Case report. 2013;34(5):e308. Preliminary results of arthroscopic superior capsule reconstruction with dermal allograft. Cipolla et al (2010) evaluated the effectiveness of fibrin glue in the prevention of seroma formation after axillary lymphadenectomy. Healing of diabetic foot ulcers and pressure ulcers with human skin equivalent: A new paradigm in wound healing. Podiatr Manag. 2007;83(2):580-588. Serena TE, Carter MJ, Le LT,et al. Thomin A, Touboul C, Hequet D, et al. According to the manufacturer, clinical experience supports up to five weekly to bi-weekly applications of cryopreserved human skin allograft to close the wound to the point of treatment with non-biologic wound dressings or to prepare the wound bed for autograft. Incremental costs (95 % CIs) per additional successfully treated patient were $1,600 ($1,600 to $6,400) for Talymed, $3,150 ($1,890 to $24,570) for Oasis, and $29,952 ($14,976 to $119,808) for Apligraf. Thomas K, Litsky A, Jones G, Bishop JY. Scapholunate ligament reconstruction using an acellular dermal matrix:A mechanical study. Seroma formation in rat latissimus dorsi resection in the presence of biologics: The role of quilting. Technology Appraisal Guidance No. 2011;127(3):1047-1058. 2016;4(10):e1065. They are typically administered in an outpatient setting but may be administered inpatient or in the office setting. Brigido SA. Motolese A, Vignati F, Brambilla R, et al. Surg Endosc. 2010;5(3):273-277. Centers for Medicare & Medicaid Services' (CMS') First Biannual 2022 Healthcare Common Procedure Coding System (HCPCS) Public Meeting Agenda. J Manag Care Pharm. Blome-Eberwein SA, Amani H, Lozano DD, Gogal C, Boorse D, Pagella P. A bio-degradable synthetic membrane to treat superficial and deep second degree burn wounds in adults and children - 4 year experience. Spine (Phila Pa 1976). Collagen nerve cuff. 2014;22(6):688-693. Santiago GF, Bograd B, Basile PL, et al. Multi-variate logistic regression was used to calculate the odds of wound healing by week 12 and week 20 in each group. Sprague-Dawley rats were anesthetized and prepped for surgery; 4 1.5-cm diameter full-thickness wounds were created and treated with either: Sultan et al (2018) evaluated the use of placental and amniotic tissue-based products as an adjuvant treatment to the operative management of orthopedic sports injuries. Biologic grafts for ventral hernia repair:A systematic review. Loefebellian et al performed a randomized controlled trial in Germany consisting of 45 patients undergoing STSG. Stendel R, Danne M, Fiss I, et al. Beitzel K, Chowaniec DM, McCarthy MB,et al. The acidification of the wound bed by breakdown products is also supposed to have a bactericidal effect. Isaacs JE, McDaniel CO, Owen JR, Wayne JS. evaluated ulcer reoccurrence rates after 24 months. 1990;11(1):7-13. 2005;30(2):380-389. Adv Skin Wound Care. The result illustrated in the intent-to-treat analysis at 12 weeks showed that 76% (38/50) of the TheraSkin-treated DFUs healed compared with 36% (18/50) treated with SOC alone (adjusted P = .00056). J Cardiothorac Surg. Mallinckrodt Pharmaceuticals. Summary. Wound Medicine. Reyzelman A, Crews RT, Moore JC, et al. Eur J Cardiothorac Surg. Wounds. NNT point estimates of clinical efficacy were 2 for Talymed, 5 for Oasis, and 6 for Apligraf; 95 % CIs ranged from 2 to 8 for Talymed, 3 to 24 for Apligraf, and 3 to 39 for Oasis. Suprathel (Polymedics Innovations GmbH, Denkendorf, Germany) is a synthetic, biocompatible, and absorbable skin substitute made from polymers of lactic acid (Snyder et al, 2012). Amniotic tissues contain many regenerative cytokines, growth factors, and extracellular matrix molecules including proteoglycans, hyaluronic acid, and collagens I, III, and IV. Int J Low Extrem Wounds. Tissue Science Laboratories PLC, Covington, GA. Rockville, MD: FDA; March 9, 2005. Collagen nerve wrap. Burns. Pennington WT, Chen SW, Bartz BA, Pennington JM. Report IRR No. 2018;39(5):694-702. Guo Y, Chen G, Tian G, Tapia C. Sensory recovery following decellularized nerve allograft transplantation for digital nerve repair. Rockville, MD: FDA; February 3, 2006. The control group was 2.75 times more likely to require amputation than the treatment group. 2011;15(4):433-437. Primary reconstruction of pelvic floor defects following sacrectomy using Permacol graft. Chen SG, Tzeng YS, Wang CH. Adv Skin Wound Care. Am Surg. Novel use of extracellular matrix graft for creation of pulmonary valved conduit. Wahed S, Ahmad M, Mohiuddin K,et al. Wounds related to dystrophic epidermolysis bullosa. TransCyte is also intended for the treatment of mid-dermal to indeterminate depth burn wounds that typically require debridement and that may be expected to heal without autografting. Which of the following is a differentiating property of the FibuLock nail from other fibular nails? 2012;130(5 Suppl 2):27S-34S. Advantage of the presence of living dermal fibroblasts within in vitro reconstructed skin for grafting in humans. 2014;41(4):330-336. TheraSkin is generally applied like an autograft, insuring that the dressing is in close contact with the wound surface and that shear is minimized. London, UK: NICE; January 2018. 2007;33(8):946-957. Adelmeijer J, Porte RJ, Lisman T. In vitro effects of proteases in human pancreatic juice on stability of liquid and carrier-bound fibrin sealants. Heydari A, Attina GM, Merolla E, et al. JAMA Dermatol. Although the clinical trials demonstrated that patients treated with amniotic membrane products showed increased rates of wound healing compared with standard of care, the investigators stated that additional trials are warranted to examine more amnion/chorion membrane products. 1993;25(6):535-538. J Neurosurg. Recurrent trigeminal neuralgia after microvascular decompression using an interposing technique. 2009;36(3):179-181. 2009;198(3):303-312. The donor human skin is processed and then freeze-dried to remove cells while maintaining the collagen, elastin, and proteoglycans. Eur J Oral Implantol. An autologous epidermal equivalent tissue-engineered from follicular outer root sheath keratinocytes is as effective as split-thickness skin autograft in recalcitrant vascular leg ulcers. 2015;23(6):891-900. Petriccioli D, Bertone C, Marchi G, Mujahed I. In Vitro Cell Dev Biol Anim. Booth JH, Garvey PB, Baumann DP, et al. Centers for Medicare & Medicaid Services (CMS). 2012;(4):CD004123. Premarket Approval Application No. At Week 14, VLUs treated with ASCS + compression had a statistically greater decrease in ulcer area compared with the Control (8.94 cm2 versus 1.23 cm2, p = 0.0143). Biologic grafts for ventral hernia repair:A systematic review. Zaidi AH, Nathan M, Emani S,et al. Int J Oral Maxillofac Implants. Trials are needed to determine clinical and cost-effectiveness and long-term outcomes including adverse events.". Acellular dermal matrix allograft: An effective adjunct to oronasal fistula repair in patients with cleft palate. Wound Repair Regen. According to the manufacturer Orsis Therapeutics Inc., TruSkin is a split-thickness cryopreserved human skin allograft, intended for the replacement or reconstruction of inadequate or damaged integumental tissue. Mol Med Report. Ehrl D, Erne H. Poor outcomes from use of the Artelon biodegradable implant for the treatment of thumb carpo-metacarpal joint and scapho-trapezio-trapezoid osteoarthritis:A short report and brief review of literature. Newton DJ, Khan F, Belch JJ, et al. 2009;11(6):584-587. Complications following decompression of Chiari malformation Type I in children: Dural graft or sealant? 2006;59(5):553-555. The above policy is based on the following references: Last Review 2018;8(1):e51-e55. The use of Hyalomatrix PA in the treatment of deep partial-thickness burns. Collagen matrix (DuraGen) in dural repair: Analysis of a new modified technique. 2013;27(10):3654-3662. Greco RM, Iocono JA, Ehrlich HP. A subsequent report of the intention-to-treat analyhsis of this same study suffers from the same limitations (Niederauer, et al., 2018). 2015;1-7. Fourth Quarter, 2021 HCPCS Coding Cycle. All patients received the same post-operative analgesics and with the same doses; however, those that underwent skin grafts complained of an additional painful site (the area of harvesting). Arthroscopy. Duerr RA, Ackermann J, Gomoll AH. They evaluated as primary endpoints of the study the time for complete epithelization (both treated area and biopsy site) as well as aesthetic and functional quality of the epithelization (color, joint contractures). Emerging Device List No. Berthet JP, Wihlm JM, Canaud L,et al. ; RICH Study Group. 2016;45(9):1159-1161. Silver Spring, MD: FDA; September 21, 2018. Raghoebar GM, Schortinghuis J, Liem RS, et al. Healy CM, Boorman JG. The manufacturer states that Stravix is currently indicated for inpatient surgical applications only, including as a wound cover in deep, acute wounds; surgical wound repair; and the majority of applications are surgical -- below the knee, leg and foot tendon repairs, and neurovascular repair. Arthrosc Tech. 2018;15(6):950-957. DeCarbo WT. Graft choices for acetabular labral reconstruction. Zelen CM, Serena TE, Snyder RJ. The proprietary processing of VIM human amniotic membrane allograft results in the preservation of structural and signaling proteins such as collagen, glycoproteins, proteoglycans, cytokines, and growth factors, that are important to biochemical and biomechanical processes occurring at a cellular level. J Pediatr Surg. Specifically, Stravix/StraviPL are used for deeper wounds in higher risk patients and the wounds located in areas subject to high shear force. J Burn Care Rehabil. J Pediatr Surg. Revita allograft is intended to be used as a wound covering, or barrier membrane, over chronic and acute wounds, including dermal ulcers or defects. Available at: http://www.integra-ls.com/products/?product=274. The product is applied directly to the wound for up to 12 weeks or until the wound is closed as a part of a semi-wet dressing standard of care. Lee JM, Seo YJ, Shim DB, et al. Roth JS, Brathwaite C, Hacker K,et al. Liyanage SH, Purohit GS, Frye JN, Giordano P. Anterior abdominal wall reconstruction with a Permacol implant. Ortega-Zilic N, Hunziker T, Luchli S, et al. Guidelines from this same organization (Rayman, et al., 2020) state that "We suggest not using topical oxygen therapy as a primary or adjunctive intervention in diabetic foot ulcers including those that are difficult to heal. 2011;44(2):221-234. J Plast Reconstr Aesthet Surg. Salgado W Jr, Rosa GV, Nonino-Borges CB, Ceneviva R. Prospective and randomized comparison of two techniques of staple line reinforcement during open Roux-en-Y gastric bypass: Oversewing and bioabsorbable Seamguard. 2009;29(3):303-309. 2012;94(4):298-307. Driver VR, Hanft J, Fylling CP, Beriou JM; Autologel Diabetic Foot Ulcer Study Group. A multicenter, randomized, controlled clinical trial evaluating the use of dehydrated human amnion/chorion membrane allografts and multilayer compression therapy vs. multilayer compression therapy alone in the treatment of venous leg ulcers. Prone extralevator abdominoperineal excision of the rectum with porcine collagen perineal reconstruction (Permacol): high primary perineal wound healing rates. Plast Reconstr Surg Glob Open. Supra SDRM (PolyMedics Innovations Inc.) is a novel, resorbable synthetic skin substitute, guided wound closure matrix, built as a bimodal foam membrane structure for the management of epidermal and dermal wounds, including those caused by burns, pressure ulcers, and venous ulcers, among other wounds. 2009;21(9):254-261. J Neurol Surg B Skull Base. Mihata T, McGarry MH, Pirolo JM, et al. Edison, NJ: MTF; 2015. Hernia. Australia and New Zealand Horizon Scanning Network (ANZHSN). Foot Ankle Spec. Suprathel, a new skin substitute, in the management of partial-thickness burn wounds: Results of a clinical study. Plachel F, Klatte-Schulz F, Minkus M, et al. Epidermal stem cells are preserved during commercial-scale manufacture of a bilayered, living cellular construct (Apligraf). Yeen WC, Faber C, Caldeira C,et al. A prospective, randomised, controlled, multi-centre comparative effectiveness study of healing using dehydrated human amnion/chorion membrane allograft, bioengineered skin substitute or standard of care for treatment of chronic lower extremity diabetic ulcers. The authors concluded that ProLayer ADM was designed to offer optimal suture retention and tensile strength while retaining essential flexibility and pliability characteristics allowing for secure placement and suturing. Technology Assessment Program: Skin substitutes for treating chronic wounds. The investigators note that burn depth was assessed clinically only by experienced burn physicians. J Hand Surg Eur Vol. Nelson EA. To apply, cut the rinsed Unite Biomatrix to a size slightly larger than the outline of the wound area and secure in place by sutures or staples. Cooke M, Tan EK, Mandrycky C,et al. Bioengineered skin substitutes for the management of burns:A systematic review. Inclusion criteria were that studies should have reported on: Apligraf has has received a premarket approval (PMA) by the U.S. Food and Drug Administration (FDA) in 1998 for treatment of venous leg ulcers and in 2001 for treatment of diabetic ulcers. 2011. There are several products that provide intermittent topical oxygen therapy, usually once-daily. Burns. Spine J. Kirsner RS, Eaglstein WH, Kerdel FA. Muscle Nerve. J Burn Care Res. 2005;13(6):463-468. Last Review04/26/2023. Int Wound J. The products areintended for use as a wound covering, surgical covering, wrap or barrier, application to partial-and full-thickness, acute and chronic wounds such as traumatic and complex wounds, burns, surgical and Mohs surgery sites and diabetic, venous, arterial, pressure and other ulcers, including with exposed tendon, muscle, bone, or other vital structures. This nerve is of greatest concern when repairing a midsubstance Achilles tendon rupture. Centers for Medicare & Medicaid Services (CMS). Faga A, Nicoletti G, Brenta F,et al. Schneider KH, Aigner P, Holnthoner W, et al. Rockville, MD: Agency for Healthcare Research and Quality (AHRQ); 2013. 2014;23(7):355-357. Int Wound J. TAG is applied directly to the wound after standard wound preparation and may be held in place using a secondary dressing. 2008;106(6):1619-1626. 2004;13(5):193-197. Arthroscopic repair of rotator cuff tears using extracellular matrix graft. 2012;21(5):236, 238, 240, 242-243. Koike T, Yasuo M, Shimane T, et al. This finding needs to be verified by larger multicenter studies. July 13, 2011. 2006;41(11):1836-1840. Gordley K, Cole P, Hicks J, Hollier L. A comparative, long term assessment of soft tissue substitutes: AlloDerm, Enduragen, and Dermamatrix. Jeon H, Kim J, Yeo H, et al. Stability is pleased to announce that our request for a Level II HCPCS code for AmnioCore Amniotic Membrane Allograft has been established . Decision memo for autologous blood-derived products for chronic non-healing wounds (CAG-00190N). A retrospective clinical study of 214 consecutive patients to examine the effectiveness of a biologically active cryopreserved human skin allograft (Theraskin) on the treatment of diabetic foot ulcers and venous leg ulcers. Kim H, Bruen K, Vargo D. Acellular dermal matrix in the management of high-risk abdominal wall defects. 2012;1(3):51-59. Patients in group A, with a higher mean hemoglobin A1c at study outset, experienced a longer mean time to closure (29.50) days compared with group B (26.20 days). Bronchoscopic removal of staple-line reinforcement material. 1990;211(6):676-679. FDA approves StrataGraft for the treatment of adults with thermal burns. A randomised controlled trial comparing TVT, Pelvicol and autologous fascial slings for the treatment of stress urinary incontinence in women. Accessed February 13, 2019. Mil Med. J Trauma. Plast Reconstr Surg. An evaluation of dehydrated human amnion/chorion membrane allografts for pressure ulcer treatment: A case series. Acta Biomater. 2014;97(5):e129-e131. 2012;38(3):388-395. Graham A. 2004;17(5):207-13. The investigators stated that, based upon the results of the planned interim analysis described above,the protocol was amended to change the minimum baseline wound size and run-in rate of wound closure inclusion/exclusion criteria. Ellis CV, Kulber DA. Technology Report No 52. Hernia.2015;19(2):247-252. The use of cryopreserved human skin allograft for the treatment of wounds with exposed muscle, tendon, and bone. 2012;21(10):476, 478-80, 482. Tettelbach W, Cazzell S, Reyzelman AM, et al. 2016;18(3):286-294. 2009;8(1):11-18. 1996;53(4):304-308. Acellular dermal matrix for the treatment and prevention of implant-associated breast deformities. 2022b;10(2):e4083. Hanft JR, Surprenant MS. Healing of chronic foot ulcers in diabetic patients treated with a human fibroblast-derived dermis. Pham C, Greenwood J, Cleland H,et al. Kogan and colleagues (2018) conducted a review of the safety and efficacy of amniotic membrane adjuncts in wound healing. Arthrex Amnion matrix; ArthroFlex . Levenda AC, Sanders NR. Foot Ankle Spec. Muttini A, Barboni B, Valbonetti L, et al. Dural augmentation: Part I-evaluation of collagen matrix allografts for dural defect after craniotomy. The enrolled patients met the following criteria: age greater than 18 years with mixed arterial/venous leg ulcer by clinical and instrumental assessment, venous reflux by Doppler flow studies, ankle brachial pressure index greater than 0.6 and less than 0.8, ulcer duration greater than 6 weeks and size 2.5to 10 cm(2), and 50 % or more granulation tissue on the wound bed. Voigt J, Driver VR. Centers for Medicare & Medicaid Services (CMS) Healthcare Common Procedure Coding System (HCPCS). 2009;22(2):68-71. Br J Surg. Silver dressings for the treatment of patients with infected wounds:A review of clinical and cost-effectiveness. Charleston, SC: Innocutis Holdings, LLC; June 2014. Biobrane versus 1% silver sulfadiazine in second-degree pediatric burns. Custom sizes and thicknesses are available upon request. Properties of biologic scaffolds and their response to mesenchymal stem cells. 2001;24(2):290-295. 2016;4(10):e1095. Current status in wound healing. This product is designed to function as a barrier and provide protective coverage from the surrounding environment for acute and chronic wounds such as partial and full thickness wounds, pressure sores/ulcers, venous ulcers, diabetic ulcers, chronic vascular ulcers, tunneled/undermined wounds, surgical wounds (e.g., donor site/grafts, post-laser surgery, post-Mohs surgery, podiatric wounds, wound dehiscence), trauma wounds (e.g., abrasions, lacerations, partial thickness burns, skin tears), and draining wounds. 2004;1(1):21-31. 2016;28(4):119-125. 2015;28(1):17-20. PROVANT Wound-Closure System accelerates closure of pressure wounds in a randomized, double-blind, placebo-controlled trial. J Am Podiatr Med Assoc. PuraPly Am is a double-layer fenestrated and cross-linked sheet of porcine collagen, coated with polyhexamethylene biguanide hydrochloride (PHMB) to resist microbial colonization and reduce microbial penetration within the matrix. Stockholm, Sweden: SBU; 2003. Thoracic wall reconstruction with Collamend in trauma: Report of a case and review of the literature. Anesth Analg. Foot Ankle Int. 2010;64(5):674-678. The development of bioengineered skin. The product is thawed in a sterile gloved hand for 5 minutes and cut and shaped to size prior to application following wound preparation. J Wound Care. Dolynchuk K, Hull P, Guenther L, et al.
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