Showing codes Q4405 (Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure)) — Q4437 (Revival ac, per square centimeter (add-on, list separately in addition to primary procedure))
Q4405 - Xwrap fenestra plus sq cm
Long description: Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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Q4406 - Xwrap fenestra per sq cm
Long description: Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4407 - Xwrap tribus per sq cm
Long description: Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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Q4408 - Xwrap hydro per sq cm
Long description: Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4409 - Amniomatrixf3x per sq cm
Long description: Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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Q4410 - Amchomatrixdl per sq cm
Long description: Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4411 - Amniomatrixf4x per sq cm
Long description: Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4412 - Choriofix per sq cm
Long description: Choriofix, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4413 - Cygnus solo per sq cm
Long description: Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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Q4414 - Simplichor per sq cm
Long description: Simplichor, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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Q4415 - Alexiguard st-l per sq cm
Long description: Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4416 - Alexiguard tl-t per sq cm
Long description: Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4417 - Alexiguard dl-t per sq cm
Long description: Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4418 - Biolab wrap flow per sq cm
Long description: Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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Q4419 - Biolab wrap flw lt per sq cm
Long description: Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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Q4420 - Nuform per sq cm
Long description: Nuform, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260101.
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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PDF
Q4421 - Biolab wrap solo per sq cm
Long description: Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4422 - Ac wrap per sq cm
Long description: A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4423 - Biolab tri wrap fl per sq cm
Long description: Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4424 - Revive ft per sq cm
Long description: Revive ft, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4425 - Revive tl per sq cm
Long description: Revive tl, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4426 - Dermbnd tl+, tlx per sq cm
Long description: Dermabind tl + or dermabind tl x, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4427 - Dermbnd dln dl+ dlx sq cm
Long description: Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4428 - Dermbnd sln sl+ slx sq cm
Long description: Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4429 - Dermbnd chn, chx per sq cm
Long description: Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4431 - Pma skin substitute, nos
Long description: Pma skin substitute product, not otherwise specified (list in addition to primary procedure)
Code added date: 20260101.
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).
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Q4432 - 510(k) skin subs, nos
Long description: 510(k) skin substitute product, not otherwise specified (list in addition to primary procedure)
Code added date: 20260101.
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).
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PDF
Q4433 - 361 hct/p skin subs, nos
Long description: 361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)
Code added date: 20260101.
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).
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PDF
Q4435 - Renati membrane per sq cm
Long description: Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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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PDF
Q4436 - Renati ac membrane per sq cm
Long description: Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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
Q4437 - Revival ac per sq cm
Long description: Revival ac, per square centimeter (add-on, list separately in addition to primary procedure)
Code added date: 20260401.
Code effective date: 20260401.
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