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Search all medical codes
Q4104
Integra bilayer matrix wound dressing (bmwd), per square centimeter
HCPCS code
Medical Policies and Guidelines for Integra bilayer matrix wound dressing (bmwd), per square centimeter
Related policies from health plans
OSCAR
Bioengineered Skin and Soft Tissue Substitutes (CG030)
OSCAR
Bioengineered Skin and Soft Tissue Substitutes (CG030)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
SUNFLOWER
Skin Substitutes for Chronic Wounds (PDF)
Similar Codes
ICD10CM codes
Z48.00
- Encounter for change or removal of nonsurgical wound dressing
Z48.01
- Encounter for change or removal of surgical wound dressing
Z48.1
- Encounter for planned postprocedural wound closure
T85.613A
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter
T85.613
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis
T85.623A
- Displacement of artificial skin graft and decellularized allodermis, initial encounter
O90.0
- Disruption of cesarean delivery wound
T85.613D
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter
T85.623
- Displacement of artificial skin graft and decellularized allodermis
T85.613S
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, sequela
HCPCS codes
Q4104
- Integra bilayer matrix wound dressing (bmwd), per square centimeter
C9363
- Skin substitute, integra meshed bilayer wound matrix, per square centimeter
Q4108
- Integra matrix, per square centimeter
Q4124
- Oasis ultra tri-layer wound matrix, per square centimeter
Q4102
- Oasis wound matrix, per square centimeter
A2002
- Mirragen advanced wound matrix, per square centimeter
Q4163
- Woundex, bioskin, per square centimeter
Q4116
- Alloderm, per square centimeter
Q4204
- Xwrap, per square centimeter
Q4114
- Integra flowable wound matrix, injectable, 1 cc
CPT4 codes
12021
- Treatment of superficial wound dehiscence; with packing
11045
- Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 s
14001
- Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm
14301
- Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm
11042
- Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or le
11044
- Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if perform
10180
- Incision and drainage, complex, postoperative wound infection
15271
- Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm;
12020
- Treatment of superficial wound dehiscence; simple closure
15040
- Harvest of skin for tissue cultured skin autograft, 100 sq cm or less