Table of content for "Matristem wound matrix" (HCPCS Q4119)
General information on the “Q4119” code
HCPCS Code: Q4119
Long Description: Matristem wound matrix, per square centimeter
Short Description: Matristem wound matrix
Original information is taken from Q4119 page
Pricing indicators
Pricing Indicator Code 1: 51 – Drugs
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: 20110101
Code Effective Date: 20170101
Termination Date: 20161231
Action Code: N – No maintenance for this code