Summary & Overview
HCPCS C9349: Puraply Antimicrobial Wound Dressing, per cm2
HCPCS Level II code C9349 represents Puraply and Puraply antimicrobial wound dressing billed per square centimeter. This supply-level code captures topical biologic or antimicrobial dressing products used in wound management and is relevant to clinicians and billing staff who code for wound care therapies that are provided and measured by surface area.
Key national payers typically involved in coverage and payment decisions for such products include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code denotes, clinical contexts in which the dressing is used, and the typical sites of service where billing occurs. The publication outlines common billing considerations, how C9349 fits into supply and product coding for wound care, and related policy themes that affect reimbursement for topical biologic and antimicrobial dressings. It also identifies gaps where payer-specific coverage details or modifiers are not provided in the input.
This summary is intended for a national audience of clinicians, coding professionals, and policy analysts seeking a clear description of HCPCS Level II code C9349, its clinical use, and the payer landscape relevant to wound dressing supplies.
Billing Code Overview
HCPCS Level II code C9349 describes Puraply, and puraply antimicrobial, any type, per square centimeter, a topical wound dressing product measured and billed by surface area. The service type is application or provision of a topical antimicrobial wound dressing. The typical site of service is outpatient wound care settings such as ambulatory wound clinics, outpatient surgical centers, and physician offices that manage acute or chronic wounds.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with a chronic or complex wound (for example, a diabetic foot ulcer, venous leg ulcer, or pressure injury) requiring advanced topical wound therapy. The wound care clinician at an outpatient wound clinic or hospital-based wound center assesses the wound, debrides nonviable tissue as indicated, measures wound dimensions in square centimeters, and selects C9349 — Puraply (antimicrobial) — applied to the wound bed per square centimeter. The workflow includes wound cleansing, application of the indicated amount of Puraply dressing or powder across the measured wound surface area, dressing application and securement, documentation of wound size, product lot number, and amount used (cm2), and scheduling follow-up for reassessment. Typical sites of service include outpatient wound care clinics, hospital outpatient departments, long-term care facilities, and home health visits when the clinician performs advanced wound care.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure | Use when a distinct E/M visit is performed on the same day as Puraply application and is separately documented. |
59 | Distinct procedural service | Use when Puraply application is reported with another procedure on the same day that is not typically bundled, and documentation supports distinct services.