HCPCS Code Section: HCPCS Q Codes

Kerecis omega3, per square centimeter Short Description: Kerecis omega3, per sq cm Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective …

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

Puraply or puraply am, per square centimeter Short Description: Puraply or puraply am Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2017 …

Neox 100 or clarix 100, per square centimeter Short Description: Neox 100 or clarix 100 Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Interfyl, 1 mg Short Description: Interfyl, 1 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2017 Effective Date: January 1, 2017 …

Neoxflo or clarixflo, 1 mg Short Description: Neoxflo or clarixflo 1 mg Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective …

Epifix, per square centimeter Short Description: Epifix 1 sq cm Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: January …

Cellesta flowable amnion (25 mg per cc); per 0.5 cc Short Description: Cellesta flowab amnion 0.5cc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Cellesta or cellesta duo, per square centimeter Short Description: Cellesta or duo per sq cm Coverage Code: Carrier judgment Action Code: Change in long description of procedure or modifier …

Surgigraft, per square centimeter Short Description: Surgigraft, 1 sq cm Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: January …