GlobeNewswire·Nov 5, 2026, 7:45 AM ET

AVITA Medical Announces National Medicare Physician Payment Framework and Simplified Billing Codes for RECELL Procedures in 2027

CMS finalized national physician valuations for skin cell suspension autograft (SCSA) procedures using RECELL under the Calendar Year 2027 Medicare Physician Fee Schedule.
Effective January 1, 2027, nationally published Relative Value Units (RVUs) will replace regionally determined valuations by Medicare Administrative Contractors (MACs).
A simplified four-code CPT structure will replace the existing eight-code family to streamline procedure reporting for skin harvesting, cell preparation, & application.
The new codes distinguish treatment areas & report increments of 100 square centimeters, with percentage-of-body-area reporting for infants & children.
Separate coding distinctions for manual & automated cell preparation systems have been removed under the new structure.
Physician work RVUs adopted by CMS include 10.97 for the initial 100 sq cm on trunk, arms, & legs, & 11.28 for specified areas including the face, scalp, neck, hands, & feet.
Additional increments are valued at 0.59 RVUs for trunk, arms, & legs & 0.98 RVUs for specified areas.
Inpatient hospital payments remain covered under the MS-DRG system without separate reimbursement for the RECELL System itself.
CMS finalized facility payment assignments & rates for the new SCSA codes in both hospital outpatient & ambulatory surgery center settings.
AVITA Medical states the changes aim to provide clearer payment expectations & greater predictability for physicians treating burns & serious skin injuries.