Table of content for "Grafix stravix prime pl sqcm" (HCPCS Q4133)
General information on the “Q4133” code
HCPCS Code: Q4133
Long Description: Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter
Short Description: Grafix stravix prime pl sqcm
Original information is taken from Q4133 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: 20130101
Code Effective Date: 20190101
Action Code: N – No maintenance for this code