PCD2.M48X communication module

PCD2.M48X communication module

Technical data of product parameters

Stedical Scientific submitted a request to establish a new HCPCS Level II code to identify the PCD2.M48X
PermeaDerm Glove, as there is currently no HCPCS code that describes this product. The
PermeaDerm Glove is intended for use as a wound covering and to provide a moist wound
healing environment on cleanly prepared wounds after hemostasis has been established. The
PermeaDerm Glove is indicated for debrided partial thickness hand burns. The PermeaDerm
Glove is an FDA 510(k) cleared biosynthetic wound covering that is comprised of an
adherent and transparent monofilament nylon knitted fabric that is bonded to a thin, slitted,
silicone membrane. The PermeaDerm Glove has physical slits that are configured to create
pores (similar to human skin) when the product is stretched. The nylon side of this wound PCD2.M48X
covering is coated with a mixture of USP Pharmaceutical Grade hypoallergenic porcine
gelatin and a pure fraction of aloe vera. The PermeaDerm Glove is available in sizes extra
small to extra-large. Key characteristics of the PermeaDerm Glove include transparency,
porosity, strength, stretchability and stability, all qualities which are essential for healing. The
PermeaDerm Glove is applied to a prepared wound and covered with any clinician chosen
secondary absorbent outer dressing.We appreciate the written comment provided in response to CMS’ published preliminary
recommendation. Based on the information provided in the application to establish a new PCD2.M48X
HCPCS Level II code, and after consideration of the applicant’s written comment, CMS is
finalizing its preliminary recommendation to:
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Establish new HCPCS Level II code A2017, “Permeaderm glove, each” to describe the
PermeaDerm Glove.
In accordance with HCPCS Level II codes CMS effectuated for similarly situated products in
2022 and the Calendar Year 2022 Physician Fee Schedule Final Rule (86 FR 64996),
Medicare payment for this product will be determined by the Medicare Administrative
Contractors.

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