Showing codes Q4364 (Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter) — Q4396 (Natalin, per square centimeter)

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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Q4383 - Axolotl graft ult per sq cm
Long description: Axolotl graft ultra, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4384 - Axolotl dual ult per sq cm
Long description: Axolotl dualgraft ultra, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4385 - Apollo ft per sq cm
Long description: Apollo ft, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4386 - Acesso trifaca per sq cm
Long description: Acesso trifaca, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4387 - Neothelium ft per sq cm
Long description: Neothelium ft, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4388 - Neothelium 4l per sq cm
Long description: Neothelium 4l, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4389 - Neothelium 4l+ per sq cm
Long description: Neothelium 4l+, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4390 - Ascendion per sq cm
Long description: Ascendion, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4391 - Amnioplast double per sq cm
Long description: Amnioplast double, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4392 - Grafix duo per sq cm
Long description: Grafix duo, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4393 - Surgraft ac per sq cm
Long description: Surgraft ac, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4394 - Surgraft aca per sq cm
Long description: Surgraft aca, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4395 - Acelagraft per sq cm
Long description: Acelagraft, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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Q4396 - Natalin per sq cm
Long description: Natalin, per square centimeter
Code added date: 20251001.
Code effective date: 20251001.
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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