Table of content for "Membrane wrap hydr per sq cm" (HCPCS Q4290)
General information on the “Q4290” code
HCPCS Code: Q4290
Long Description: Membrane wrap-hydro, per square centimeter
Short Description: Membrane wrap hydr per sq cm
Original information is taken from Q4290 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: 20240101
Code Effective Date: 20240101
Action Code: N – No maintenance for this code