carePATCH

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.

carePATCH is dehydrated amniotic membrane allograft.

INTENDED USES: carePATCH is used for the treatment of non-healing wounds and burn injuries.

CLAIMED BENEFITS: carePATCH amniotic membrane allograft delivers cytokines, proteins and growth factors to help regenerate soft tissue. Human amniotic membrane is a thin collagenous membrane that consists of collagen layers including the basement membrane and stromal matrix. The extracellular matrix (ECM) components of the amniotic tissue include collagens, growth factors fibronectin, laminins, integrins and hyaluronans. Additionally, amniotic membrane allograft is immune privileged and possesses little or no risk of foreign body reaction which can lead to fibrosis and graft failure.

OPTION: The dosage for carePATCH amniotic membrane allograft is per square centimeter. carePATCH is available in the following wound preparation. Absorbable/ non-absorbable suture material and/or tissue adhesives may be used to apply the graft to the site if necessary. carePATCH is supplied in the following allograft sizes: 2 cm x 2 cm, 2 cm x 3 cm,2cm X 4cm, 4 cm x 4 cm, 4 cm x 6 cm, 5 cm x 5 cm, 4 cm x 8 cm, 12mm Disc, 16mm Disc

CPT312S: carePATCH Amniotic Membrane, 12mm Disc

CPT316S: carePATCH Amniotic Membrane, 16mm Disc

CPT01515S: carePATCH Amniotic Membrane, 1.5×1.5cm

CPT022S: carePATCH Amniotic Membrane, 2x2cm

CPT023S: carePATCH Amniotic Membrane, 2x3cm

CPT024S: carePATCH Amniotic Membrane, 2x4cm

CPT044S: carePATCH Amniotic Membrane, 4x4cm

CPT046S: carePATCH Amniotic Membrane, 4x6cm

CPT055S: carePATCH Amniotic Membrane, 5x5cm

CPT048S: carePATCH Amniotic Membrane, 4x8cm

Manufacturer: Extremity Care, LLC

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

carePATCH, per square centimeter

Carepatch, per square centimeter

Q4236

* 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

Extremity Care, LLC
carePATCH, 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

carePATCH, per square centimeter

Coming soon

Product

Estimated
Out-of-pocket
Cost

Features

carePATCH, 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 2752 Version 1.0

carePATCH

carePATCH

ESSENTIALS

CODING, COVERAGE AND REIMBURSEMENT

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