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Q4132
Grafix core and grafixpl core, per square centimeter
HCPCS code
Medical Policies and Guidelines for Grafix core and grafixpl core, 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)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
Similar Codes
ICD10CM codes
Q52.123
- Longitudinal vaginal septum, microperforate, right side
C44.520
- Squamous cell carcinoma of anal skin
Z48.1
- Encounter for planned postprocedural wound closure
R85.613
- High grade squamous intraepithelial lesion on cytologic smear of anus (HGSIL)
O43.231
- Placenta percreta, first trimester
O43.239
- Placenta percreta, unspecified trimester
T85.623A
- Displacement of artificial skin graft and decellularized allodermis, initial encounter
O43.232
- Placenta percreta, second trimester
T84.82XA
- Fibrosis due to internal orthopedic prosthetic devices, implants and grafts, initial encounter
M27.1
- Giant cell granuloma, central
HCPCS codes
Q4132
- Grafix core and grafixpl core, per square centimeter
Q4133
- Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter
Q4110
- Primatrix, per square centimeter
Q4186
- Epifix, per square centimeter
Q4136
- Ez-derm, per square centimeter
Q4131
- Epifix or epicord, per square centimeter
Q4128
- Flex hd, allopatch hd, or matrix hd, per square centimeter
Q4204
- Xwrap, per square centimeter
Q4101
- Apligraf, per square centimeter
Q4195
- Puraply, per square centimeter
CPT4 codes
41820
- Gingivectomy, excision gingiva, each quadrant
41828
- Excision of hyperplastic alveolar mucosa, each quadrant (specify)
15201
- Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm,
15220
- Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq
15221
- Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each a
15200
- Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less
76098
- Radiological examination, surgical specimen
14301
- Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm
78305
- Bone and/or joint imaging; multiple areas
71260
- Computed tomography, thorax, diagnostic; with contrast material(s)