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: …
HCPCS Code Section: HCPCS Q Codes
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: …
Q4101
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 …
Q4100
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 …
Q4082
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 …
Q4081
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 …
Q4130
Strattice tm, per square centimeter Short Description: Strattice tm Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: January 1, …
Q4114
Integra flowable wound matrix, injectable, 1 cc Short Description: Integra flowable wound matri Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 …
Q4129
Unite biomatrix, per square centimeter Short Description: Unite biomatrix Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: January 1, …
Q4113
Graftjacket xpress, injectable, 1 cc Short Description: Graftjacket xpress Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January 1, …