Table of content for "Neothelium 4l+ per sq cm" (HCPCS Q4389)
General information on the “Q4389” code
HCPCS Code: Q4389
Long Description: Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure)
Short Description: Neothelium 4l+ per sq cm
Original information is taken from Q4389 page
Pricing indicators
Pricing Indicator Code 1: 11 – Price established using national rvu's. Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): O1E – Other drugs
Type Of Service 1: 1 – Medical care
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20251001
Code Effective Date: 20260101
Action Code: N – No maintenance for this code