HCPCS Level II · Outpatient PPS (temporary codes)
C5278Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About C5278
C5278 is an HCPCS Level II code in the C series (outpatient PPS (temporary codes)), describing application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure).
It was added to HCPCS effective 01/01/2014, and its current record took effect 01/01/2026.
It was terminated on 12/31/2025 and can't be billed for later dates of service.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Low cost skin substitute app
- Date added
- 01/01/2014
- Action effective
- 01/01/2026
- Termination date
- 12/31/2025
- BETOS
- P5A
Common questions about C5278
Is HCPCS C5278 still valid?
- No. C5278 was terminated on 12/31/2025.
Does Medicare cover C5278?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.