FDA: 300714198

“Supplies and materials provided by the physician over and above
those usually included with the office visit or other services rendered (list drug, tray, supplies, or materials provided).”
Write in ScarErase, noninvasive, silicone sheeting, scar managment or:

(CPT) Code A6025 - Gel Sheet for dermal or epidermal
application, (eg. Silicone, hydrogel, other).
Match CPT code with ICD 9CM code listed below.

701.4 - Keloid scar
709.2 - Scar conditions and fibrosis of the skin
309.28 - Adjustment reaction with anxiety and depression
309.0 - Brief acute depressive reaction
729.2 - Neuralgia or neuritis
Post burns - conditions specify as follows:
906.5 - Face
906.6 - Wrist
906.7 - Extremities
906.8 - Other specified areas
906.9 - Other unspecified areas