Table of content for "Axolotl graf dualgraf sq cm" (HCPCS Q4210)
General information on the “Q4210” code
HCPCS Code: Q4210
Long Description: Axolotl graft or axolotl dualgraft, per square centimeter
Short Description: Axolotl graf dualgraf sq cm
Original information is taken from Q4210 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: 20240701
Termination Date: 20240630
Action Code: N – No maintenance for this code