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Search all medical codes
Q4116
Alloderm, per square centimeter
HCPCS code
Medical Policies and Guidelines for Alloderm, per square centimeter
Related policies from health plans
CIGNA
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
CIGNA
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
OSCAR
Breast Procedures (CG036)
OSCAR
Bioengineered Skin and Soft Tissue Substitutes (CG030)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
Similar Codes
ICD10CM codes
T85.623
- Displacement of artificial skin graft and decellularized allodermis
T85.613
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis
T85.623A
- Displacement of artificial skin graft and decellularized allodermis, initial encounter
T85.613A
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter
T85.613D
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter
T85.623D
- Displacement of artificial skin graft and decellularized allodermis, subsequent encounter
T85.693
- Other mechanical complication of artificial skin graft and decellularized allodermis
T85.623S
- Displacement of artificial skin graft and decellularized allodermis, sequela
T85.693A
- Other mechanical complication of artificial skin graft and decellularized allodermis, initial encoun
T85.613S
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, sequela
HCPCS codes
Q4116
- Alloderm, per square centimeter
Q4121
- Theraskin, per square centimeter
Q4106
- Dermagraft, per square centimeter
Q4117
- Hyalomatrix, per square centimeter
Q4136
- Ez-derm, per square centimeter
Q4101
- Apligraf, per square centimeter
Q4110
- Primatrix, per square centimeter
Q4126
- Memoderm, dermaspan, tranzgraft or integuply, per square centimeter
Q4163
- Woundex, bioskin, per square centimeter
Q4122
- Dermacell, dermacell awm or dermacell awm porous, per square centimeter
CPT4 codes
11045
- Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 s
15040
- Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
11042
- Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or le
15155
- Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, f
11044
- Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if perform
15271
- Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm;
41828
- Excision of hyperplastic alveolar mucosa, each quadrant (specify)
41874
- Alveoloplasty, each quadrant (specify)
15275
- Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,
15276
- Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia,