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The bio-ConneKt® Wound Matrix is a sterile, conformable and porous wound dressing made of reconstituted collagen derived from equine tendon. It is chemically crosslinked to provide resistance to enzymatic degradation. The dressing is provided sterile for single use only.

For Single Patient Use and Single Occasion Use Only.

INDICATIONS FOR USE

The bio-ConneKt® Wound Matrix is a collagen-based wound dressing for the local

management of moderately to heavily exuding wounds, including:

Partial and Full

Thickness Wounds

Draining

Wounds

Tunneling

Wounds

Pressure

Sores/Ulcers

Venous

Ulcers

Post Moh’s

Surgery

Diabetic

Ulcers

Trauma

Wounds

Surgical

Wounds

2024 Medicare Physician Office Reimbursement

Healthcare professionals are responsible for all coding and billing decisions. Reimbursement of

bio-ConneKt products is subject to further review and approval of third party payers. There is no

guarantee of reimbursement of these products.

PRODUCT CODE DESCRIPTION RATE
04161 bio-ConneKt per cm2 2060
QCODE CATALOG NUMBER SIZE BILLING UNITS
Q4161 1101-1515 1.5cm x 1.5cm 2
Q4161 1101-0202 2cm x 2cm 4
Q4161 1101-0303 3cm x 3cm 9
Q4161 1101-0404 4cm x 4cm 16
Q4161 1101-0505 5cm x 5cm 25
Q4161 1101-0607 6cm x 7cm 42
Q4161 1101-0126 6cm x 21cm 126
APPLICATION
CODE
DESCRIPTION NATIONAL PHYSICIAN
RATE IN OFFICE
15271 Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100cm2;
first 25 cm2 or less wound surface area
$152
15271 Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100cm2; first 25 cm2 or less wound surface area, or part thereof (List separately in addition to code for primary procedure) $24
15271 Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100cm2; first 25cm2 or less wound surface area. $157
15271 Application of skin substitue graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 cm2; each additional 25 cm2 wound surface area, or part thereof (List separately in addition to code for primary procedure) $32

Billling Examples

BILLING CONSIDERATIONS

  • Debridement is considered a component of the application code.
  • Minimal wound preparation is considered part of the application.
  • Only 1 primary application code can be billed even if you have multiple wounds for similar anatomic locations (e.g., trunk, arms, leg). Select the code that represents the total of all wounds for that anatomical grouping. Bill the total units for the product.
  • The application code is based on wound size and the product code is based on product size. Healthcare Professionals should use the appropriate size product for the wound size to minimize wastage.

BIO-CONNEKT 2CM x 2CM SHEET APPLIED

BILLING
CODE
CODE
DESCRIPTION
BILLING
UNITS*
CO-PAYMENT MEDICARE
ALLOWABLE**
MEDICARE
PAYMENT (80%)
SECONDARY
PAYMENT (20%)
15275 Application 1 20% $157 $126 $31
Q4161 4 20% 4 X $2060-8,240 $6,592 $1,648
TOTAL $8,397 $6,718 $1,679

BIO-CONNEKT 4CM x 4CM SHEET APPLIED

BILLING
CODE
CODE
DESCRIPTION
BILLING
UNITS*
CO-PAYMENT MEDICARE
ALLOWABLE**
MEDICARE
PAYMENT (80%)
SECONDARY
PAYMENT (20%)
15271 Application 1 20% $152 $122 $30
Q4161 16 20% 16 X $2,060-32,960 $26,368 $6,592
TOTAL $33,112 $26,490 $6,622

The following grid provides guidance on billing skin substitute application procedure codes by wound size and anatomical location. For ex ample, a 53 cm2 wound on the leg should be billed with 1 unit of 15271 and 2 unite of 15272. Add-on codes(+) cannot be billed alone. In addition to the procedure code,the product code (Q4161) should be billed with the total units of the product. Reference the bio-ConneKt sizes grid on page 1 to determine billing units by product size.

*Units for sizes are rounded up per Medicare guidelines.** National Medicare 2024 Payment Rate based on 2024 Physician Fee Schedule Relative Value File.The bio-ConneKt rate is based on the Q1 2024 Medicare Part B Drug File. Each facility rate will vary based on its Geographic Practice Cost Index (GPCI). The calculations do not include the 2% sequestration.

Wound Size, Trunk, arms, legs
1-25cm2 15271 15275
26-50cm2 +15272 X 1 +15276 X 1
51-75cm2 +15272 X 2 +15276 X 2
76-99cm2 +15272 X 3 +15276 X 3
Total wound surface area greater than or equal to 100 cm2
100cm2 15273 15277
101-200cm2 +15274 X 1 +15278 X 1
201-300cm2 +15274 X 2 +15278 X 2
301-400cm2 +15274 X 3 +15278 X 3