Q4111
Gammagraft, per square centimeter Short Description: Gammagraft Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2009 Effective Date: January 1, 2014 Termination …
HCPCS Code Section: HCPCS Q Codes
Q4049
Finger splint, static Short Description: Finger splint, static Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, 2001 Effective Date: October 1, 2014 …
Q4110
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 …
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 …
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 …
Q4124
Oasis ultra tri-layer wound matrix, per square centimeter Short Description: Oasis tri-layer wound matrix Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …
Q4123
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 …
Q4122
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 …
Q4121
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 …