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Q4102
Oasis wound matrix, per square centimeter
HCPCS code
Medical Policies and Guidelines for Oasis wound matrix, per square centimeter
Related policies from health plans
OSCAR
Bioengineered Skin and Soft Tissue Substitutes (CG030)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
SUNFLOWER
Skin Substitutes for Chronic Wounds (PDF)
Similar Codes
ICD10CM codes
Z48.1
- Encounter for planned postprocedural wound closure
Z48.01
- Encounter for change or removal of surgical wound dressing
O90.0
- Disruption of cesarean delivery wound
Z48.00
- Encounter for change or removal of nonsurgical wound dressing
O86.03
- Infection of obstetric surgical wound, organ and space site
O90.1
- Disruption of perineal obstetric wound
O86.0
- Infection of obstetric surgical wound
O86.01
- Infection of obstetric surgical wound, superficial incisional site
O90.2
- Hematoma of obstetric wound
T85.623A
- Displacement of artificial skin graft and decellularized allodermis, initial encounter
HCPCS codes
Q4102
- Oasis wound matrix, per square centimeter
Q4124
- Oasis ultra tri-layer wound matrix, per square centimeter
A2002
- Mirragen advanced wound matrix, per square centimeter
Q4117
- Hyalomatrix, per square centimeter
Q4104
- Integra bilayer matrix wound dressing (bmwd), per square centimeter
Q4108
- Integra matrix, per square centimeter
Q4163
- Woundex, bioskin, per square centimeter
Q4116
- Alloderm, per square centimeter
C9363
- Skin substitute, integra meshed bilayer wound matrix, per square centimeter
Q4110
- Primatrix, per square centimeter
CPT4 codes
15931
- Excision, sacral pressure ulcer, with primary suture
11045
- Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 s
12034
- Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet);
10180
- Incision and drainage, complex, postoperative wound infection
15933
- Excision, sacral pressure ulcer, with primary suture; with ostectomy
12035
- Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet);
15155
- Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, f
11042
- Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or le
15271
- Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm;
12042
- Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm