VENDAJE AC

Last updated on 1/9/24 | First published on 1/9/24 | Literature review current through Oct. 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.

VENDAJE AC is an allogeneic matrix composed of the amnion and chorion layer of the placental membrane

INTENDED USES: VENDAJE AC is intended for homologous use as a protective covering for soft tissue wounds.

CLAIMED BENEFITS: VENDAJE AC is a thicker structural tissue allograft composed of the amnion and chorion layer of the placental membrane. VENDAJE AC is sterilized via e-beam irradiation. VENDAJE AC should be stored in a clean, dry environment at ambient (room) temperature.

OPTIONS: Per Square Centimeter

300-004-0202-001: VENDAJE AC, 2 x 2 cm: Q4279

300-008-0204-001: VENDAJE AC, 2 x 4 cm: Q4279

300-016-0404-001: VENDAJE AC, 4 x 4 cm: Q4279

300-024-0406-001: VENDAJE AC, 4 x 6 cm: Q4279

300-032-0408-001: VENDAJE AC, 4 x 8 cm: Q4279

300-036-0606-001: VENDAJE AC, 6 x 6 cm: Q4279

Manufacturer: BioStem Technologies, Inc.

Information retrieved from manufacturer and/or FDA-approved labels

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ESSENTIALS

Product

Estimated
Out-of-pocket
Cost

HCPCS Class

HCPCS

VENDAJE AC, Per Square Centimeter

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DME coverage and co-payment

Product

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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

BioStem Technologies, Inc.
VENDAJE AC, Per Square Centimeter

$.00

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Product

Estimated
Out-of-pocket
Cost

Recom / Evidence

FDA Safety

Quality Measures

Cost Effectiveness

VENDAJE AC, Per Square Centimeter

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Product

Estimated
Out-of-pocket
Cost

Features

VENDAJE AC, Per Square Centimeter

CPT Code	Description	Facility Reimbursement
C5271	Low cost skin substitute app	$534.89
C5273	Low cost skin substitute app	$1,749.26
C5274	Low cost skin substitute app
C5275	Low cost skin substitute app	$534.89
C5272	Low cost skin substitute app
C5276	Low cost skin substitute app
C5277	Low cost skin substitute app	$534.89
C5278	Low cost skin substitute app

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 2283 Version 1.0

VENDAJE AC

VENDAJE AC

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