Table of content for "Memoderm/derma/tranz/integup" (HCPCS Q4126)
General information on the “Q4126” code
HCPCS Code: Q4126
Long Description: Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
Short Description: Memoderm/derma/tranz/integup
Original information is taken from Q4126 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: 20120101
Code Effective Date: 20130101
Action Code: N – No maintenance for this code