Showing codes Q4341 (Simplimax, per square centimeter (add-on, list separately in addition to primary procedure)) — Q4371 (Neoguard, per square centimeter (add-on, list separately in addition to primary procedure))

Q4341 - Simplimax, per sq cm
Long description: Simplimax, 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).
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Q4342 - Theramend, per sq cm
Long description: Theramend, 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).
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Q4343 - Dermacyte ac matrx per sq cm
Long description: Dermacyte ac matrix amniotic membrane allograft, 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).
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Q4344 - Tri membrane wrap, per sq cm
Long description: Tri-membrane wrap, 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).
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Q4345 - Matrix hd allogrft per sq cm
Long description: Matrix hd allograft dermis, 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).
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Q4346 - Shelter dm matrix per sq cm
Long description: Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250101.
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).
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Q4347 - Rampart dl matrix per sq cm
Long description: Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250101.
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).
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Q4348 - Sentry sl matrix per sq cm
Long description: Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250101.
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).
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Q4349 - Mantle dl matrix per sq cm
Long description: Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250101.
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).
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Q4350 - Palisade dm matrix per sq cm
Long description: Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250101.
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).
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Q4351 - Enclose tl matrix, per sq cm
Long description: Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250101.
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).
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Q4352 - Overlay sl matrix, per sq cm
Long description: Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250101.
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).
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Q4353 - Xceed tl matrix per sq cm
Long description: Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250101.
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).
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Q4354 - Palingen dl-palingen dl-x
Long description: Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4355 - Abio xpl abio xpl hy p sq cm
Long description: Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4356 - Abio mem abio hyd per sq cm
Long description: Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4357 - Xwrap plus, per sq cm
Long description: Xwrap plus, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4358 - Xwrap dual, per sq cm
Long description: Xwrap dual, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4359 - Choriply, per sq cm
Long description: Choriply, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4360 - Amchoplast fd per sq cm
Long description: Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4361 - Epixpress, per sq cm
Long description: Epixpress, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4362 - Cygnus disk, per sq cm
Long description: Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4363 - Am bur mem hydro per sq cm
Long description: Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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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 (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4365 - Amnio bur dl mem per sq cm
Long description: Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4366 - Dl amnio bur x-mem per sq cm
Long description: Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4367 - Amniocore sl, per sq cm
Long description: Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250401.
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).
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Q4368 - Amchothick per sq cm
Long description: Amchothick, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250701.
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).
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Q4369 - Amnioplast 3 per sq cm
Long description: Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250701.
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).
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Q4370 - Aeroguard per sq cm
Long description: Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250701.
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).
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Q4371 - Neoguard per sq cm
Long description: Neoguard, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20250701.
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).
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