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Hyalomatrix, per square centimeter

HCPCS code

Medical Policies and Guidelines for Hyalomatrix, per square centimeter

Related policies from health plans

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

Similar Codes


ICD10CM codes

L91.0 - Hypertrophic scar
T85.613 - Breakdown (mechanical) of artificial skin graft and decellularized allodermis
T85.623 - Displacement of artificial skin graft and decellularized allodermis
T85.613A - Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter
Z41.1 - Encounter for cosmetic surgery
L76.33 - Postprocedural seroma of skin and subcutaneous tissue following a dermatologic procedure
T85.623A - Displacement of artificial skin graft and decellularized allodermis, initial encounter
Z48.817 - Encounter for surgical aftercare following surgery on the skin and subcutaneous tissue
O34.212 - Maternal care for vertical scar from previous cesarean delivery
T85.613D - Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter

HCPCS codes

Q4117 - Hyalomatrix, per square centimeter
Q4116 - Alloderm, per square centimeter
Q4110 - Primatrix, per square centimeter
Q4101 - Apligraf, per square centimeter
Q4121 - Theraskin, per square centimeter
Q4108 - Integra matrix, per square centimeter
Q4137 - Amnioexcel, amnioexcel plus or biodexcel, per square centimeter
Q4102 - Oasis wound matrix, per square centimeter
Q4106 - Dermagraft, per square centimeter
Q4124 - Oasis ultra tri-layer wound matrix, per square centimeter

CPT4 codes

11954 - Subcutaneous injection of filling material (eg, collagen); over 10.0 cc
15040 - Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
41828 - Excision of hyperplastic alveolar mucosa, each quadrant (specify)
11951 - Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc
11045 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 s
41874 - Alveoloplasty, each quadrant (specify)
11471 - Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with co
11950 - Subcutaneous injection of filling material (eg, collagen); 1 cc or less
11952 - Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc
11042 - Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or le