HCPCS Code Section: HCPCS Q Codes

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

Matristem micromatrix, 1 mg Short Description: Matristem micromatrix Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2011 Effective Date: January 1, 2014 …

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

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

Epifix or epicord, per square centimeter Short Description: Epifix or epicord Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2013 Effective Date: …

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

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, …

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 …

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, …

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, …