HCPCS Code Section: HCPCS Q Codes

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

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 …

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, …

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 …

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 …

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 …

Alloskin rt, per square centimeter Short Description: Alloskin Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2012 Effective Date: January 1, 2012 …

Dermacell, dermacell awm or dermacell awm porous, per square centimeter Short Description: Dermacell, awm, porous sq cm Coverage Code: Carrier judgment Action Code: Change in long description of procedure …

Theraskin, per square centimeter Short Description: Theraskin Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2011 Effective Date: January 1, 2018 Termination …

Matristem burn matrix, per square centimeter Short Description: Matristem burn matrix Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2011 Effective Date: …