Showing codes Q4357 (Xwrap plus, per square centimeter) — Q5006 (Hospice care provided in inpatient hospice facility)
Q4357 - Xwrap plus, per sq cm
Long description: Xwrap plus, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4358 - Xwrap dual, per sq cm
Long description: Xwrap dual, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4359 - Choriply, per sq cm
Long description: Choriply, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4360 - Amchoplast fd per sq cm
Long description: Amchoplast fd, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4361 - Epixpress, per sq cm
Long description: Epixpress, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4362 - Cygnus disk, per sq cm
Long description: Cygnus disk, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4363 - Am bur mem hydro per sq cm
Long description: Amnio burgeon membrane and hydromembrane, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4364 - Am bur xp mem xpl hy p sq cm
Long description: Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4365 - Amnio bur dl mem per sq cm
Long description: Amnio burgeon dual-layer membrane, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4366 - Dl amnio bur x-mem per sq cm
Long description: Dual layer amnio burgeon x-membrane, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4367 - Amniocore sl, per sq cm
Long description: Amniocore sl, per square centimeter
Code added date: 20250401.
Code effective date: 20250401.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4368 - Amchothick per sq cm
Long description: Amchothick, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4369 - Amnioplast 3 per sq cm
Long description: Amnioplast 3, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4370 - Aeroguard per sq cm
Long description: Aeroguard, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4371 - Neoguard per sq cm
Long description: Neoguard, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4372 - Amchoplast excl per sq cm
Long description: Amchoplast excel, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4373 - Membrane wrp lt per sq cm
Long description: Membrane wrap lite, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4375 - Duograft ac per sq cm
Long description: Duograft ac, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4376 - Duograft aa per sq cm
Long description: Duograft aa, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4377 - Trigraft ft per sq cm
Long description: Trigraft ft, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4378 - Renew ft matrix per sq cm
Long description: Renew ft matrix, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4379 - Amniodefend ft per sq cm
Long description: Amniodefend ft matrix, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4380 - Advograft one per sq cm
Long description: Advograft one, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q4382 - Advograft dual per sq cm
Long description: Advograft dual, per square centimeter
Code added date: 20250701.
Code effective date: 20250701.
Pricing Indicator Code(s):
51
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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Q5 - Recip bill arr subs md or pt
Long description: Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
Code added date: 19930101.
Code effective date: 20170701.
Coverage Code: D (A code denoting Medicare coverage status).
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Q5001 - Hospice or home hlth in home
Long description: Hospice or home health care provided in patient's home/residence
Code added date: 20070101.
Code effective date: 20130701.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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Q5002 - Hospice/home hlth in asst lv
Long description: Hospice or home health care provided in assisted living facility
Code added date: 20070101.
Code effective date: 20130701.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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Q5003 - Hospice in lt/non-skilled nf
Long description: Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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Q5004 - Hospice in snf
Long description: Hospice care provided in skilled nursing facility (snf)
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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Q5005 - Hospice, inpatient hospital
Long description: Hospice care provided in inpatient hospital
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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Q5006 - Hospice in hospice facility
Long description: Hospice care provided in inpatient hospice facility
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF