Table of content for "Activate matrix, per sq cm" (HCPCS Q4301)
General information on the “Q4301” code
HCPCS Code: Q4301
Long Description: Activate matrix, per square centimeter
Short Description: Activate matrix, per sq cm
Original information is taken from Q4301 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