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Oasis ultra tri-layer wound matrix, per square centimeter

HCPCS code

Medical Policies and Guidelines for Oasis ultra tri-layer wound matrix, per square centimeter

Related policies from health plans

Bioengineered Skin and Soft Tissue Substitutes (CG030)
Tissue Engineered Skin Substitutes - (0068)
Tissue Engineered Skin Substitutes - (0068)

Similar Codes


ICD10CM codes

Z48.1 - Encounter for planned postprocedural wound closure
Z48.01 - Encounter for change or removal of surgical wound dressing
Z48.00 - Encounter for change or removal of nonsurgical wound dressing
T81.30XA - Disruption of wound, unspecified, initial encounter
O90.0 - Disruption of cesarean delivery wound
O86.01 - Infection of obstetric surgical wound, superficial incisional site
O86.03 - Infection of obstetric surgical wound, organ and space site
L89 - Pressure ulcer
O90.1 - Disruption of perineal obstetric wound
Z48.817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue

HCPCS codes

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
C9363 - Skin substitute, integra meshed bilayer wound matrix, per square centimeter
Q4104 - Integra bilayer matrix wound dressing (bmwd), per square centimeter
Q4163 - Woundex, bioskin, per square centimeter
Q4110 - Primatrix, per square centimeter
Q4117 - Hyalomatrix, per square centimeter
Q4204 - Xwrap, per square centimeter
Q4116 - Alloderm, per square centimeter

CPT4 codes

15931 - Excision, sacral pressure ulcer, with primary suture
12034 - Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet);
11045 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 s
12035 - Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet);
15933 - Excision, sacral pressure ulcer, with primary suture; with ostectomy
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;
12036 - Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet);
11042 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or le
12037 - Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet);