HCPCS Code Section: HCPCS Q Codes

Novafix, per square cenitmeter Short Description: Novafix per sq cm Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: October 1, 2019 Effective Date: October …

Fluid flow or fluid gf, 1 cc Short Description: Fluid flow or fluid gf 1 cc Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: …

Membrane graft or membrane wrap, per square centimeter Short Description: Membrane graft or wrap sq cm Coverage Code: Carrier judgment Action Code: Add procedure or modifier code Date Added: …

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

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

Keroxx (2.5g/cc), 1cc Short Description: Keroxx (2.5g/cc), 1cc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective Date: January 1, 2019 …

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

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

Genesis amniotic membrane, per square centimeter Short Description: Genesis amnio membrane 1sqcm Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2019 Effective …

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