Showing codes Q4228 (Bionextpatch, per square centimeter) — Q4259 (Celera dual layer or celera dual membrane, per square centimeter)
Q4228 - Bionextpatch, per sq cm
Long description: Bionextpatch, per square centimeter
Code added date: 20200701.
Code effective date: 20211001.
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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Q4229 - Cogenex amnio memb per sq cm
Long description: Cogenex amniotic membrane, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4230 - Cogenex flow amnion 0.5 cc
Long description: Cogenex flowable amnion, per 0.5 cc
Code added date: 20200701.
Code effective date: 20200701.
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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Q4231 - Corplex p, per cc
Long description: Corplex p, per cc
Code added date: 20200701.
Code effective date: 20200701.
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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Q4232 - Corplex, per sq cm
Long description: Corplex, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4233 - Surfactor /nudyn per 0.5 cc
Long description: Surfactor or nudyn, per 0.5 cc
Code added date: 20200701.
Code effective date: 20200701.
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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Q4234 - Xcellerate, per sq cm
Long description: Xcellerate, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4235 - Amniorepair or altiply sq cm
Long description: Amniorepair or altiply, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4236 - Carepatch per sq cm
Long description: Carepatch, per square centimeter
Code added date: 20200701.
Code effective date: 20230101.
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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Q4237 - Cryo-cord, per sq cm
Long description: Cryo-cord, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4238 - Derm-maxx, per sq cm
Long description: Derm-maxx, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4239 - Amnio-maxx or lite per sq cm
Long description: Amnio-maxx or amnio-maxx lite, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4240 - Corecyte topical only 0.5 cc
Long description: Corecyte, for topical use only, per 0.5 cc
Code added date: 20200701.
Code effective date: 20200701.
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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Q4241 - Polycyte, topical only 0.5cc
Long description: Polycyte, for topical use only, per 0.5 cc
Code added date: 20200701.
Code effective date: 20200701.
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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Q4242 - Amniocyte plus, per 0.5 cc
Long description: Amniocyte plus, per 0.5 cc
Code added date: 20200701.
Code effective date: 20200701.
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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Q4244 - Procenta, per 200 mg
Long description: Procenta, per 200 mg
Code added date: 20200701.
Code effective date: 20240401.
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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Q4245 - Amniotext, per cc
Long description: Amniotext, per cc
Code added date: 20200701.
Code effective date: 20200701.
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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Q4246 - Coretext or protext, per cc
Long description: Coretext or protext, per cc
Code added date: 20200701.
Code effective date: 20200701.
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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Q4247 - Amniotext patch, per sq cm
Long description: Amniotext patch, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4248 - Dermacyte amn mem allo sq cm
Long description: Dermacyte amniotic membrane allograft, per square centimeter
Code added date: 20200701.
Code effective date: 20200701.
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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Q4249 - Amniply, per sq cm
Long description: Amniply, for topical use only, per square centimeter
Code added date: 20201001.
Code effective date: 20201001.
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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Q4250 - Amnioamp-mp per sq cm
Long description: Amnioamp-mp, per square centimeter
Code added date: 20201001.
Code effective date: 20201001.
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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Q4251 - Vim, per square centimeter
Long description: Vim, per square centimeter
Code added date: 20211001.
Code effective date: 20211001.
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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Q4252 - Vendaje, per square centimet
Long description: Vendaje, per square centimeter
Code added date: 20211001.
Code effective date: 20211001.
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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Q4253 - Zenith amniotic membrane psc
Long description: Zenith amniotic membrane, per square centimeter
Code added date: 20211001.
Code effective date: 20211001.
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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Q4254 - Novafix dl per sq cm
Long description: Novafix dl, per square centimeter
Code added date: 20201001.
Code effective date: 20201001.
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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Q4255 - Reguard, topical use per sq
Long description: Reguard, for topical use only, per square centimeter
Code added date: 20201001.
Code effective date: 20201001.
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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Q4256 - Mlg complet, per sq cm
Long description: Mlg-complete, per square centimeter
Code added date: 20220401.
Code effective date: 20220401.
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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Q4257 - Relese, per sq cm
Long description: Relese, per square centimeter
Code added date: 20220401.
Code effective date: 20220401.
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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Q4258 - Enverse, per sq cm
Long description: Enverse, per square centimeter
Code added date: 20220401.
Code effective date: 20220401.
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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Q4259 - Celera per sq cm
Long description: Celera dual layer or celera dual membrane, per square centimeter
Code added date: 20220701.
Code effective date: 20220701.
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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PDF