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HCPCS Procedure & Supply Codes

Temporary Codes

section notes

Skin Substitutes

section notes
Q4100 Skin substitute, nos
Q4101 Apligraf
Q4102 Oasis wound matrix
Q4103 Oasis burn matrix
Q4104 Integra bmwd
Q4105 Integra drt or omnigraft
Q4106 Dermagraft
Q4107 Graftjacket
Q4108 Integra matrix
Q4110 Primatrix
Q4111 Gammagraft
Q4112 Cymetra injectable
Q4113 Graftjacket xpress
Q4114 Integra flowable wound matri
Q4115 Alloskin
Q4116 Alloderm
Q4117 Hyalomatrix
Q4118 Matristem micromatrix
Q4121 Theraskin
Q4122 Dermacell, awm, porous sq cm
Q4123 Alloskin
Q4124 Oasis tri-layer wound matrix
Q4125 Arthroflex
Q4126 Memoderm/derma/tranz/integup
Q4127 Talymed
Q4128 Flexhd/allopatchhd/matrixhd
Q4130 Strattice tm
Q4132 Grafix core, grafixpl core
Q4133 Grafix stravix prime pl sqcm
Q4134 Hmatrix
Q4135 Mediskin
Q4136 Ezderm
Q4137 Amnioexcel biodexcel 1sq cm
Q4138 Biodfence dryflex, 1cm
Q4139 Amnio or biodmatrix, inj 1cc
Q4140 Biodfence 1cm
Q4141 Alloskin ac, 1 cm
Q4142 Xcm biologic tiss matrix 1cm
Q4143 Repriza, 1cm
Q4145 Epifix, inj, 1mg
Q4146 Tensix, 1cm
Q4147 Architect ecm px fx 1 sq cm
Q4148 Neox neox rt or clarix cord
Q4149 Excellagen, 0.1 cc
Q4150 Allowrap ds or dry 1 sq cm
Q4151 Amnioband, guardian 1 sq cm
Q4152 Dermapure 1 square cm
Q4153 Dermavest, plurivest sq cm
Q4154 Biovance 1 square cm
Q4155 Neoxflo or clarixflo 1 mg
Q4156 Neox 100 or clarix 100
Q4157 Revitalon 1 square cm
Q4158 Kerecis omega3, per sq cm
Q4159 Affinity1 square cm
Q4160 Nushield 1 square cm
Q4161 Bio-connekt per square cm
Q4162 Wndex flw, bioskn flw, 0.5cc
Q4163 Woundex, bioskin, per sq cm
Q4164 Helicoll, per square cm
Q4165 Keramatrix, kerasorb sq cm
Q4166 Cytal, per square centimeter
Q4167 Truskin, per sq centimeter
Q4168 Amnioband, 1 mg
Q4169 Artacent wound, per sq cm
Q4170 Cygnus, per sq cm
Q4171 Interfyl, 1 mg
Q4173 Palingen or palingen xplus
Q4174 Palingen or promatrx
Q4175 Miroderm
Q4176 Neopatch or therion, 1 sq cm
Q4177 Floweramnioflo, 0.1 cc
Q4178 Floweramniopatch, per sq cm
Q4179 Flowerderm, per sq cm
Q4180 Revita, per sq cm
Q4181 Amnio wound, per square cm
Q4182 Transcyte, per sq centimeter
Q4183 Surgigraft, 1 sq cm
Q4184Q4187   Cellesta
Q4188 Amnioarmor 1 sq cm
Q4189Q4216   Artacent
Q4191Q4192   Restorigin
Q4193 Coll-e-derm 1 sq cm
Q4194 Novachor 1 sq cm
Q4195Q4197   Puraply
Q4198 Genesis amnio membrane 1sqcm
Q4200 Skin te 1 sq cm
Q4201 Matrion 1 sq cm
Q4202 Keroxx (2.5g/cc), 1cc
Q4203 Derma-gide, 1 sq cm
Q4204 Xwrap 1 sq cm
Q4205 Membrane graft or wrap sq cm
Q4206 Fluid flow or fluid gf 1 cc
Q4208 Novafix per sq cm
Q4209 Surgraft per sq cm
Q4210 Axolotl graf dualgraf sq cm
Q4211 Amnion bio or axobio sq cm
Q4212 Allogen, per cc
Q4213 Ascent, 0.5 mg
Q4214 Cellesta cord per sq cm
Q4215 Axolotl ambient, cryo 0.1 mg
Q4217 Woundfix biowound plus xplus
Q4218 Surgicord per sq cm
Q4219 Surgigraft dual per sq cm
Q4220 Bellacell hd, surederm sq cm
Q4221 Amniowrap2 per sq cm
Q4222 Progenamatrix, per sq cm
Q4226 Myown harv prep proc sq cm
Q4227 Amniocore per sq cm
Q4228 Bionextpatch, per sq cm
Q4229 Cogenex amnio memb per sq cm
Q4230 Cogenex flow amnion 0.5 cc
Q4231 Corplex p, per cc
Q4232 Corplex, per sq cm
Q4233 Surfactor /nudyn per 0.5 cc
Q4234 Xcellerate, per sq cm
Q4235 Amniorepair or altiply sq cm
Q4236 Carepatch per sq cm
Q4237 Cryo-cord, per sq cm
Q4238 Derm-maxx, per sq cm
Q4239 Amnio-maxx or lite per sq cm
Q4240 Corecyte topical only 0.5 cc
Q4241 Polycyte, topical only 0.5cc
Q4242 Amniocyte plus, per 0.5 cc
Q4244 Procenta, per 200 mg
Q4245 Amniotext, per cc
Q4246 Coretext or protext, per cc
Q4247 Amniotext patch, per sq cm
Q4248 Dermacyte amn mem allo sq cm
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