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Excellus BlueCross BlueShieldCommercial · Billing Codes · Skin (Dermatology) · NY · Wound Care, Plastic Surgery, Podiatry +1 moreHigh impact

Bioengineered Tissue Products for Wound Treatment and Surgical Interventions 7.01.35

Effective date
Aug 20, 2026
Identified
Jun 20, 2026

Summary

Excellus BlueCross BlueShield medical policy 7.01.35, Bioengineered Tissue Products for Wound Treatment and Surgical Interventions, has a current effective date of August 20, 2026. The 08/20/26 annual review added CPT codes 15011-15018, and the 10/22/26 off-cycle update added HCPCS codes A2041-A2050, G0681-G0684, Q4243, Q4398-Q4429, Q4431-Q4433 and Q4435-Q4440 while removing termed HCPCS codes C5271-C5278, Q4100 and Q4106. Policy intent is unchanged for both updates.

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What to do

Action · 5 steps
01Already effective August 20, 2026: Billing team, when billing these codes, confirm that the product is used in accordance with its FDA product approval and that the policy criteria are met.
02Codes marked (E/I) are experimental/investigational, and all other bioengineered tissue products are considered investigational for any indication.
03For a product used off label, documentation of a shared decision-making process and informed consent is required.
04Reinitiated treatment on the same wound site less than one year after successful treatment is considered treatment failure and not medically appropriate.
05Codes may not be covered under all circumstances.

Codes mentioned

1501115012150131501415015150161501715018G0681G0682G0683G0684A2036A2037A2038A2039A2041A2042A2043A2044A2045A2046A2047A2048A2049A2050Q4100Q4106Q4243Q4383Q4384Q4385Q4386Q4387Q4388Q4389Q4390Q4391Q4392Q4393Q4394Q4395Q4396Q4397Q4398Q4399Q4400Q4401Q4402Q4403Q4404Q4405Q4406Q4407Q4408Q4409Q4410Q4411Q4412Q4413Q4414Q4415Q4416Q4417Q4418Q4419Q4420Q4421Q4422Q4423Q4424Q4425Q4426Q4427Q4428Q4429Q4431Q4432Q4433Q4435Q4436Q4437Q4438Q4439Q4440

Original notice

Bioengineered Tissue Products for Wound Treatment and Surgical Interventions 7.01.35
excellusbcbs.com · Always check the source before changing claims.
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Related changes

See all Excellus BlueCross BlueShield changes →
Cosmetic and Reconstructive Procedures 7.01.11MediumEffective Sep 17, 2026 · Cosmetic / Reconstructive SurgeryBrowse every Excellus BlueCross BlueShield change in the policy list

Related policy hubs

Excellus BlueCross BlueShield policiesNY policy changesWound CarePlastic SurgeryPodiatryGeneral SurgeryCode 15011Code 15012Code 15013Code 15014Code 15015Code 15016Code 15017Code 15018Code G0681Code G0682Code G0683Code G0684Code A2036Code A2037Code A2038Code A2039Code A2041Code A2042Code A2043Code A2044Code A2045Code A2046Code A2047Code A2048Code A2049Code A2050Code Q4100Code Q4106Code Q4243Code Q4383Code Q4384Code Q4385Code Q4386Code Q4387Code Q4388Code Q4389Code Q4390Code Q4391Code Q4392Code Q4393Code Q4394Code Q4395Code Q4396Code Q4397Code Q4398Code Q4399Code Q4400Code Q4401Code Q4402Code Q4403Code Q4404Code Q4405Code Q4406Code Q4407Code Q4408Code Q4409Code Q4410Code Q4411Code Q4412Code Q4413Code Q4414Code Q4415Code Q4416Code Q4417Code Q4418Code Q4419Code Q4420Code Q4421Code Q4422Code Q4423Code Q4424Code Q4425Code Q4426Code Q4427Code Q4428Code Q4429Code Q4431Code Q4432Code Q4433Code Q4435Code Q4436Code Q4437Code Q4438Code Q4439Code Q4440

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