HCPCS Code Section: HCPCS Q Codes

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

Amnioband or guardian, per square centimeter Short Description: Amnioband, guardian 1 sq cm Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 …

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

Allowrap ds or dry, per square centimeter Short Description: Allowrap ds or dry 1 sq cm Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter Short Description: Grafix stravix prime pl sqcm Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Excellagen, 0.1 cc Short Description: Excellagen, 0.1 cc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2014 Effective Date: January 1, 2014 …

Grafix core and grafixpl core, per square centimeter Short Description: Grafix core, grafixpl core Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter Short Description: Neox neox rt or clarix cord Coverage Code: Carrier judgment Action Code: No maintenance …

Architect, architect px, or architect fx, extracellular matrix, per square centimeter Short Description: Architect ecm px fx 1 sq cm Coverage Code: Carrier judgment Action Code: No maintenance for …

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