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Dx

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)

Terminated 12/31/2025

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.