Amniotext Patch

Last updated on 1/20/25 | First published on 12/18/24 | Literature review current through Dec. 2024 [cite]

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Technology and Product Assessment

Product Type: Allogeneic matrix

Unbiased information for educational purposes only. WoundReference does not produce, market, advertise, re-sell or distribute healthcare goods or services consumed by, or used on patients. For information about specific products, please contact the manufacturer directly.

Amniotext patches are minimally manipulated, amniotic membrane-derived, human tissue allografts. The product serves as wound covering.

INTENDED USES: It is typically used for chronic non-healing wounds such as diabetic foot ulcers and venous leg ulcers.

CLAIMED BENEFITS: It provides the extracellular matrix needed for the infiltration, attachment and proliferation of cells required for repair of damaged tissue.

OPTION: The graft is applied directly to the wound bed and is available in various sizes, the size used matches the wound defect. The product is packaged in a transport protective pouch. The product is contained in a dual package tissue container system, in which the outermost ploy-foil pouch contains a product label that includes the product details such as unique product number, storage requirements and size. Contents are aseptically processed and sterilized, and are considered sterile.

APF2–11: Amniotext Patch, 1x1 cm: Q4247

APF2–22: Amniotext Patch, 2x2 cm: Q4247

APF2–23: Amniotext Patch, 2x3 cm: Q4247

APF2–33: Amniotext Patch, 3x3 cm: Q4247

APF2–34: Amniotext Patch, 3x4 cm: Q4247

APF2–44: Amniotext Patch, 4x4 cm: Q4247

APF2–46: Amniotext Patch, 4x6 cm: Q4247

APF2–48: Amniotext Patch, 4x8 cm: Q4247

APF2–88: Amniotext Patch, 8x8 cm: Q4247

APF2–10: Amniotext Patch, 10x10 cm: Q4247

Manufacturer: Regenative Labs

Information retrieved from manufacturer and/or FDA-approved labels

* Wound Reference does not produce, market, re-sell or distribute health care goods or services consumed by, or used on, patients. The product information contained on this page, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers. Every effort has been made to ensure the accuracy of the product information, however on occasion manufacturers may alter their products or packaging without notice. Wound Reference assumes no liability for inaccuracies or misstatements about products. The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Due to product changes, information listed in this document is subject to change without notice. We recommend that you always read labels, warnings and instructions for use before using a product. Content on this site is for reference purposes and is not intended to be a substitute for professional advice given by a physician or other licensed healthcare professional.

ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

Amniotext Patch, per square centimeter

Amniotext patch, per square centimeter

Q4247

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Select your state for Medicare
DME coverage and co-payment

Product

Estimated
Out-of-pocket
Cost

Patient DME Co-Payment per Billable Unit

DME Reimbursement to Suppliers

Frequency Replacement if Requirements Met

Office and/or Facility - Product reimbursement

Regenative Labs
Amniotext Patch, per square centimeter

$.00

Coming soon

* Every effort has been made to ensure the accuracy of the product information, however you should visit the manufacturer's website for the latest information.

* Hover on the information button next to each header for detailed explanation on the type of information provided by the table

Product

Estimated
Out-of-pocket
Cost

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

Amniotext Patch, per square centimeter

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

Amniotext Patch, per square centimeter

No CPT codes to display.

Hover on the information button next to each header for detailed explanation on the type of information provided by the table
The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.

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CODING, COVERAGE AND REIMBURSEMENT

This section currently focuses primarily on Medicare. It may be expanded in the future to include information on private insurers as well.

Medicare hospital outpatient prospective payment system (OPPS) cost category assignment:

Low Cost

Frequency of replacement allowed by Medicare:

Medicare Administrative Contractor (MAC)

Frequency of replacement if requirements met

Novitas Solutions, Inc.

CGS Administrators, LLC

First Coast Service Options, Inc. (FCSO)

Palmetto

Noridian

Wisconsin Physicians Service Insurance Corporation (WPS)

National Government Services, Inc. (NGS)

Carrier discretion

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NOTE: This is a controlled document. This document is not a substitute for proper training, experience, and exercising of professional judgment. While every effort has been made to ensure the accuracy of the contents, neither the authors nor the Wound Reference, Inc. give any guarantee as to the accuracy of the information contained in them nor accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the work.

Topic 2754 Version 1.0

Amniotext Patch

Amniotext Patch

ESSENTIALS

CODING, COVERAGE AND REIMBURSEMENT

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