Table of content for "Membrane graft or wrap sq cm" (HCPCS Q4205)
General information on the “Q4205” code
HCPCS Code: Q4205
Long Description: Membrane graft or membrane wrap, per square centimeter
Short Description: Membrane graft or wrap sq cm
Original information is taken from Q4205 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: 20191001
Code Effective Date: 20191001
Action Code: N – No maintenance for this code