HCPCS Code Section: HCPCS Q Codes

Integra bilayer matrix wound dressing (bmwd), per square centimeter Short Description: Integra bmwd Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 …

Oasis burn matrix, per square centimeter Short Description: Oasis burn matrix Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: …

Oasis wound matrix, per square centimeter Short Description: Oasis wound matrix Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: …

Apligraf, per square centimeter Short Description: Apligraf Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January 1, 2014 Termination …

Skin substitute, not otherwise specified Short Description: Skin substitute, nos Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January …

Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap) Short Description: Drug/bio noc part b drug cap Coverage Code: Carrier judgment Action Code: No maintenance …

Injection, epoetin alfa, 100 units (for esrd on dialysis) Short Description: Epoetin alfa, 100 units esrd Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms Short Description: Iloprost non-comp unit dose Coverage Code: Carrier judgment Action Code: …

Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) Short Description: Splint supplies misc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Cast supplies, for unlisted types and materials of casts Short Description: Cast supplies unlisted Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, …