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Search all medical codes
A2004
Xcellistem, 1 mg
HCPCS code
Medical Policies and Guidelines for Xcellistem, 1 mg
Related policies from health plans
OSCAR
Bioengineered Skin and Soft Tissue Substitutes (CG030)
POINT32
New Technology Assessment and Non-Covered Services
POINT32
Noncovered Investigational Services
POINT32
Noncovered Investigational Services(Eff. beginning 1.1.24)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
HUMANA
Skin and Tissue Substitutes
HUMANA
Skin and Tissue Substitutes - Medicare Advantage
HUMANA
Skin and Tissue Substitutes - Medicare Advantage
ANTHEM-BLUECROSS-CT
SURG.00011 Allogeneic, Xenographic, Synthetic, Bioengineered, and Composite Products for Wound Healing and Soft Tissue Grafting
ANTHEM-BLUECROSS-CT
SURG.00011 Allogeneic, Xenographic, Synthetic, Bioengineered, and Composite Products for Wound Healing and Soft Tissue Grafting
ANTHEM-BLUECROSS-CT
SURG.00011 Allogeneic, Xenographic, Synthetic, Bioengineered, and Composite Products for Wound Healing and Soft Tissue Grafting
SUNFLOWER
Skin Substitutes for Chronic Wounds (PDF)
Similar Codes
ICD10CM codes
Z92.850
- Personal history of Chimeric Antigen Receptor T-cell therapy
Z92.85
- Personal history of cellular therapy
Z92.859
- Personal history of cellular therapy, unspecified
Z52.011
- Autologous donor, stem cells
Z92.858
- Personal history of other cellular therapy
Z52.001
- Unspecified donor, stem cells
Z30.017
- Encounter for initial prescription of implantable subdermal contraceptive
G92.01
- Immune effector cell-associated neurotoxicity syndrome, grade 1
Z29.1
- Encounter for prophylactic immunotherapy
Z51.12
- Encounter for antineoplastic immunotherapy
HCPCS codes
A2004
- Xcellistem, 1 mg
Q4118
- Matristem micromatrix, 1 mg
J7520
- Sirolimus, oral, 1 mg
J9370
- Vincristine sulfate, 1 mg
J2941
- Injection, somatropin, 1 mg
J0202
- Injection, alemtuzumab, 1 mg
C9481
- Injection, reslizumab, 1 mg
J9047
- Injection, carfilzomib, 1 mg
S0170
- Anastrozole, oral, 1 mg
J1640
- Injection, hemin, 1 mg
CPT4 codes
90284
- Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each
80324
- Amphetamines; 1 or 2
86367
- Stem cells (ie, CD34), total count
80360
- Methylphenidate
82671
- Estrogens; fractionated
96401
- Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic
80195
- Sirolimus
84150
- Prostaglandin, each
38241
- Hematopoietic progenitor cell (HPC); autologous transplantation
80158
- Cyclosporine