Q4048
Cast supplies, short leg splint, pediatric (0-10 years), fiberglass Short Description: Cast sup sht leg splnt ped f Coverage Code: Carrier judgment Action Code: No maintenance for this code …
HCPCS Code Section: HCPCS Q Codes
Q4108
Integra matrix, per square centimeter Short Description: Integra matrix Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January 1, …
Q4047
Cast supplies, short leg splint, pediatric (0-10 years), plaster Short Description: Cast sup sht leg splnt ped p Coverage Code: Carrier judgment Action Code: No maintenance for this code …
Q4107
Graftjacket, per square centimeter Short Description: Graftjacket Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January 1, 2014 Termination …
Q4046
Cast supplies, short leg splint, adult (11 years +), fiberglass Short Description: Cast sup sht leg splnt fbrgl Coverage Code: Carrier judgment Action Code: No maintenance for this code …
Q4106
Dermagraft, per square centimeter Short Description: Dermagraft Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January 1, 2014 Termination …
Q4105
Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter Short Description: Integra drt or omnigraft Coverage Code: Carrier judgment Action Code: No maintenance for …
Q4104
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 …
Q4103
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: …
Q4102
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: …