Showing codes Q4310 (Procenta, per 100 mg) — Q4340 (Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure))

Q4310 - Procenta, per 100 mg
Long description: Procenta, per 100 mg
Code added date: 20240401.
Code effective date: 20260101.
Pricing Indicator Code(s): 13 ; (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).
HTML    PDF

Q4311 - Acesso, per sq cm
Long description: Acesso, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4312 - Acesso ac, per sq cm
Long description: Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4313 - Dermabind fm, per sq cm
Long description: Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4314 - Reeva, per sq cm
Long description: Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4315 - Regenelink amniotic mem allo
Long description: Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4316 - Amchoplast, per sq cm
Long description: Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4317 - Vitograft, per sq cm
Long description: Vitograft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4318 - E-graft, per sq cm
Long description: E-graft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4319 - Sanograft, per sq cm
Long description: Sanograft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4320 - Pellograft, per sq cm
Long description: Pellograft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4321 - Renograft, per sq cm
Long description: Renograft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4322 - Caregraft, per sq cm
Long description: Caregraft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4323 - Alloply, per sq cm
Long description: Alloply, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4324 - Amniotx, per sq cm
Long description: Amniotx, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4325 - Acapatch, per sq cm
Long description: Acapatch, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4326 - Woundplus, per sq cm
Long description: Woundplus, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4327 - Duoamnion, per sq cm
Long description: Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4328 - Most, per sq cm
Long description: Most, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4329 - Singlay, per sq cm
Long description: Singlay, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4330 - Total, per sq cm
Long description: Total, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4331 - Axolotl graft, per sq cm
Long description: Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4332 - Axolotl dualgraft, per sq cm
Long description: Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4333 - Ardeograft, per sq cm
Long description: Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20240701.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4334 - Amnioplast 1, per sq cm
Long description: Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20241001.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4335 - Amnioplast 2, per sq cm
Long description: Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20241001.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4336 - Artecent c, per sq cm
Long description: Artacent c, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20241001.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4337 - Artecent trident, per sq cm
Long description: Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20241001.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4338 - Artacent velos, per sq cm
Long description: Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20241001.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4339 - Artacent vericlen, per sq cm
Long description: Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20241001.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF

Q4340 - Simpligraft, per sq cm
Long description: Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20241001.
Code effective date: 20260101.
Pricing Indicator Code(s): 11 ; (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).
HTML    PDF