Corplex

Last updated on 1/23/24 | First published on 1/23/24 | Literature review current through Mar. 2024 [cite]

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Technology and Product Assessment

Product Type: Allogeneic matrix

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Corplex is a human umbilical cord allograft obtained from donated human birth tissue through the retention of both the epithelial layer and the Wharton's jelly.

INTENDED USES: The allograft is specifically intended to be used as a wound covering or barrier membrane over chronic and acute wounds.

CLAIMED BENEFITS: The sheet is processed using the Clearify process to maximize the retention of desired structural components. This process is designed to retain a thick structure optimized for use as a wound covering for deep and challenging wounds. Corplex retains key extracellular matrix components, including collagens and proteoglycans that provide a robust matrix. The product is then dehydrated, cut into various sheet sizes and presented in a dehydrated graft form and packaged as separate, individual units and terminally sterilized. The allograft only contains non-viable cells that were present at the time the tissue was donated. It is minimally manipulated and intended for homologous use only. The function of Corplex is for repair, reconstruction, replacement or supplementation of the recipient's tissue.

OPTION: The route of administration is topical and is supplied as 15 mm, 2 x 2 cm, 2 x 3 cm and 3 x 5 cm sheets. Corplex is supplied in sheet form in a sterile inner pouch. The inner pouch is inside a non-permeable outer pouch contained in a carton. It should be maintained in its original packaging and stored at ambient temperature (0C to 38C) until ready for use. When stored properly Corplex allografts are shelf stable for up to 5 years. According to the applicant, no existing code appropriately defines Corplex.

Manufacturer: StimLabs, LLC

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

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HCPCS

Corplex, per square centimeter

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Patient DME Co-Payment per Billable Unit

DME Reimbursement to Suppliers

Frequency Replacement if Requirements Met

Office and/or Facility - Product reimbursement

StimLabs, LLC
Corplex, per square centimeter

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Product

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Recom / Evidence

FDA Safety

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Cost Effectiveness

Corplex, per square centimeter

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Features

Corplex, per square centimeter

CPT Code	Description	Physician Reimbursement - Office	Physician Reimbursement - Facility	Facility Reimbursement
15271	Skin sub graft trnk/arm/leg	$159.88	$85.13	$1,749.26
15272	Skin sub graft t/a/l add-on	$25.95	$18.00
15273	Skin sub grft t/arm/lg child	$327.72	$201.41	$3,596.22
15274	Skn sub grft t/a/l child add	$86.86	$46.37
15275	Skin sub graft face/nk/hf/g	$164.38	$94.82	$1,749.26
15276	Skin sub graft f/n/hf/g addl	$33.57	$25.95
15277	Skn sub grft f/n/hf/g child	$359.56	$229.44	$1,749.26
15278	Skn sub grft f/n/hf/g ch add	$100.36	$57.79

Based on national averages
Medicare payments for participating qualified health professionals (QHP) for services performed in their Offices (*) or at a Facility (** i.e., hospital outpatient department or ambulatory service center). Payments are nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation. The allowed rate for non-participating physicians is set at 95% of the allowable for participating physicians. Non-participating physicians are subject to the limiting charge rules. The coinsurance is limited to 20% of the allowable fee.
When covered by the Medicare contractor, this manufacturer product is separately payable in a QHP office based on the Average Sales Price (ASP) as reported by the manufacturer on a quarterly basis.

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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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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 2361 Version 1.0

Corplex

Corplex

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