Showing codes Q4032 (Cast supplies, long leg cast, pediatric (0-10 years), fiberglass) — Q4107 (Graftjacket, per square centimeter)

Q4032 - Cast sup lng leg ped fbrgls
Long description: Cast supplies, long leg cast, pediatric (0-10 years), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4033 - Cast sup lng leg cylinder pl
Long description: Cast supplies, long leg cylinder cast, adult (11 years +), plaster
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4034 - Cast sup lng leg cylinder fb
Long description: Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4035 - Cast sup lngleg cylndr ped p
Long description: Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4036 - Cast sup lngleg cylndr ped f
Long description: Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4037 - Cast sup shrt leg plaster
Long description: Cast supplies, short leg cast, adult (11 years +), plaster
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4038 - Cast sup shrt leg fiberglass
Long description: Cast supplies, short leg cast, adult (11 years +), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4039 - Cast sup shrt leg ped plster
Long description: Cast supplies, short leg cast, pediatric (0-10 years), plaster
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4040 - Cast sup shrt leg ped fbrgls
Long description: Cast supplies, short leg cast, pediatric (0-10 years), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4041 - Cast sup lng leg splnt plstr
Long description: Cast supplies, long leg splint, adult (11 years +), plaster
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4042 - Cast sup lng leg splnt fbrgl
Long description: Cast supplies, long leg splint, adult (11 years +), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4043 - Cast sup lng leg splnt ped p
Long description: Cast supplies, long leg splint, pediatric (0-10 years), plaster
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4044 - Cast sup lng leg splnt ped f
Long description: Cast supplies, long leg splint, pediatric (0-10 years), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4045 - Cast sup sht leg splnt plstr
Long description: Cast supplies, short leg splint, adult (11 years +), plaster
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4046 - Cast sup sht leg splnt fbrgl
Long description: Cast supplies, short leg splint, adult (11 years +), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4047 - Cast sup sht leg splnt ped p
Long description: Cast supplies, short leg splint, pediatric (0-10 years), plaster
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4048 - Cast sup sht leg splnt ped f
Long description: Cast supplies, short leg splint, pediatric (0-10 years), fiberglass
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4049 - Finger splint, static
Long description: Finger splint, static
Code added date: 20010701.
Code effective date: 20141001.
Pricing Indicator Code(s): 55 ; (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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Q4050 - Cast supplies unlisted
Long description: Cast supplies, for unlisted types and materials of casts
Code added date: 20010701.
Code effective date: 20010701.
Pricing Indicator Code(s): 57 ; (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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Q4051 - Splint supplies misc
Long description: Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)
Code added date: 20010701.
Code effective date: 20010701.
Pricing Indicator Code(s): 57 ; (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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Q4074 - Iloprost non-comp unit dose
Long description: Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms
Code added date: 20100101.
Code effective date: 20100101.
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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Q4081 - Epoetin alfa, 100 units esrd
Long description: Injection, epoetin alfa, 100 units (for esrd on dialysis)
Code added date: 20070101.
Code effective date: 20070101.
Pricing Indicator Code(s): 57 ; (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: D (A code denoting Medicare coverage status).
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Q4082 - Drug/bio noc part b drug cap
Long description: Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)
Code added date: 20070101.
Code effective date: 20070101.
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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Q4100 - Skin substitute, nos
Long description: Skin substitute, not otherwise specified
Code added date: 20090101.
Code effective date: 20090101.
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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Q4101 - Apligraf
Long description: Apligraf, per square centimeter
Code added date: 20090101.
Code effective date: 20140101.
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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Q4102 - Oasis wound matrix
Long description: Oasis wound matrix, per square centimeter
Code added date: 20090101.
Code effective date: 20140101.
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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Q4103 - Oasis burn matrix
Long description: Oasis burn matrix, per square centimeter
Code added date: 20090101.
Code effective date: 20140101.
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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Q4104 - Integra bmwd
Long description: Integra bilayer matrix wound dressing (bmwd), per square centimeter
Code added date: 20090101.
Code effective date: 20140101.
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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Q4105 - Integra drt or omnigraft
Long description: Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter
Code added date: 20090101.
Code effective date: 20170101.
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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Q4106 - Dermagraft
Long description: Dermagraft, per square centimeter
Code added date: 20090101.
Code effective date: 20140101.
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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Q4107 - Graftjacket
Long description: Graftjacket, per square centimeter
Code added date: 20090101.
Code effective date: 20140101.
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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