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    v1.0.31
    OpenPayerBilling CodesOutpatient PPSHCPCS hcpcs-c9360-dermal-substitute-neonatal-bovine-collagen
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    HCPCS Level II C9360: Dermal Substitute, Neonatal Bovine Collagen

    HCPCS Level II code C9360 describes a native, non-denatured neonatal bovine-derived dermal substitute (Surgimend collagen matrix) supplied per 0.5 square centimeter; the service represents placement or application of a biologic dermal collagen matrix used in soft tissue repair and reconstructive procedures, typically provided in outpatient surgical settings or ambulatory surgical centers for wound management and reconstructive surgeries.

    For related coverage guidance, see recent payer policy updates: Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation, Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation, Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 62-year-old patient presents to a hospital outpatient wound clinic with a chronic full-thickness lower-extremity ulcer that has failed conservative therapy (off-loading, local wound care, and topical agents) for several weeks. After debridement of necrotic tissue and assessment of wound bed vascularity, the clinician elects to apply a dermal substitute product composed of native, non-denatured neonatal bovine collagen (C9360) to provide a biologic scaffold that supports cellular ingrowth and matrix remodeling.

    The clinical workflow includes pre-procedure wound assessment and measurement, informed consent, sterile preparation, sharp debridement if indicated, hemostasis, and sizing of the collagen matrix to the wound. The product is cut to size and secured to the wound with sutures, staples, or adhesive dressings per manufacturer and clinician preference. Post-application care includes graft site dressing, activity modification, serial wound checks, and documentation of product units applied using C9360 billed per 0.5 cm2. Typical sites of service are hospital outpatient departments, wound care centers, outpatient surgery centers, and inpatient operating rooms when used during surgical reconstruction.

    Typical patient attributes include diabetes, peripheral vascular disease, pressure-related tissue loss, traumatic soft-tissue deficits, or surgical wound breakdown where a dermal scaffold is indicated to promote healing or prepare for subsequent skin grafting or flap coverage. Multidisciplinary coordination may involve vascular surgery, plastic surgery, podiatry, or wound care nursing staff.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    11042Debridement, muscle and/or fascia (first 20 sq cm or less)Often performed immediately prior to dermal substitute application to create a clean, viable wound bed.
    11043Debridement, bone (first 20 sq cm or less)Used when bone exposure or necrotic bone requires debridement before placement of the collagen matrix.
    15271Skin substitute graft, first 100 sq cm or less, first stage graftPerformed in reconstructive workflows where a dermal matrix is accompanied by or followed by a skin substitute graft; documents grafting component.
    15777Dermal substitute, application (implantation) of biologic dermal substituteDirectly related code for application of biologic dermal matrices in reconstructive procedures; used when applicable and per payer bundling rules.
    97597Debridement of partial-thickness wounds; selective debridement, initialMay be used in outpatient wound clinic settings for serial debridement prior to matrix application.

    Related Modifiers

    9 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
    51Modifier –51 (Multiple Procedures) is used when the same provider performs multiple procedures in the same session to identify secondary, non‑exempt procedures and indicate payment reduction logic…- Use modifier -51 when the same provider performs multiple distinct procedures during the same patient encounter: report the highest‑valued procedure first (no modifier) and append -51 to…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    81Modifier -81 indicates a physician served as a minimal assistant surgeon for part—not all—of an operative procedure. Use when a physician’s assisting role is limited and does not represent full…- Use CPT modifier -81 when a physician acts as a minimum assistant surgeon who assists during only part (a limited portion) of an operative procedure; append -81 to the primary surgical CPT code to…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    208000000X
    213E00000X
    363L00000X
    208200000X
    207ZC0500X
    207YX0602X
    111NR0200X
    126900000X

    Related ICD-10-CM Codes

    26 rows

    ICD-10-CM CodeDescription
    A48.1Legionnaires' disease
    B95.61Methicillin susceptible Staphylococcus aureus infection as the cause of diseases classified elsewhere
    C44.519Basal cell carcinoma of skin of other part of trunk
    D23.9Other benign neoplasm of skin, unspecified
    E10.621Type 1 diabetes mellitus with foot ulcer
    E11.621Type 2 diabetes mellitus with foot ulcer
    I83.219Varicose veins of right lower extremity with both ulcer of unspecified site and inflammation
    I96Gangrene, not elsewhere classified
    L03.116Cellulitis of left lower limb
    L83Acanthosis nigricans

    Showing 1–10 of 26

    Related Payer Policy Updates

    Specialty: Cardiology1 / 3

    10 rows

    PolicyPayerEffective Date
    Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillationpremerabluecrossofwashington2027-02-05
    Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillationpremerabluecrossofwashington2027-02-05
    Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillationpremerabluecrossofwashington2027-02-05
    Percutaneous Left Atrial Appendage Closure - Medical PolicyHealth-New-England2027-02-01
    Transcatheter Mitral Valve Repair Medical PolicyHealth-New-England2027-02-01
    Cardiac Electrophysiological (EP) Studies and Cardiac Ablation of Abnormal Electrical RhythmsCigna2027-01-15
    IvabradineCigna2026-11-15
    Tilt Table TestingCigna2026-11-15
    Outpatient Cardiology Procedures for EviCore Arrangement (for Oxford Only)Colorado Rocky Mountain Health Plans2026-11-01
    Biomarkers for Myocardial Infarction and Chronic Heart Failure Reimbursement PolicyHealthfirst2026-11-01

    Related Codes

    HCPCS-C1713-IMPLANTABLE-ANCHOR-SCREW-BONE-FIXATION

    HCPCS C1713: Anchor/Screw for Bone or Soft Tissue Fixation (Implantable)

    HCPCS-C1714-TRANSLUMINAL-DIRECTIONAL-ATHERECTOMY-CATHETER

    HCPCS C1714: Catheter, transluminal atherectomy, directional

    HCPCS-C1715-BRACHYTHERAPY-NEEDLE

    HCPCS C1715: Brachytherapy Needle

    HCPCS-C1716-BRACHYTHERAPY-GOLD-198-SOURCE

    HCPCS C1716: Brachytherapy Source, Gold-198, Per Source

    HCPCS-C1717-HDR-BRACHYTHERAPY-IRIDIUM-192-SOURCE

    HCPCS C1717: HDR Iridium-192 Brachytherapy Source, Per Source

    HCPCS-C1719-BRACHYTHERAPY-IRIDIUM-192-SOURCE-NON-STRANDED

    HCPCS C1719: Brachytherapy Source, Iridium-192, Non-Stranded

    HCPCS-C1721-IMPLANTABLE-DUAL-CHAMBER-CARDIOVERTER-DEFIBRILLATOR

    HCPCS C1721: Cardioverter-Defibrillator, Dual Chamber (Implantable)

    HCPCS-C1724-ROTATIONAL-TRANSLUMINAL-ATHERECTOMY-CATHETER

    HCPCS Level II C1724: Rotational Transluminal Atherectomy Catheter

    HCPCS-C1725-TRANSLUMINAL-ANGIOPLASTY-CATHETER-NON-LASER

    HCPCS Level II C1725: Transluminal Angioplasty Catheter, Non-Laser

    HCPCS-C1726-NON-VASCULAR-BALLOON-DILATATION-CATHETER

    HCPCS C1726: Catheter, Balloon Dilatation, Non-Vascular

    Showing 1–10 of 603

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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