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Matristem micromatrix, 1 mg

HCPCS code

Medical Policies and Guidelines for Matristem micromatrix, 1 mg

Related policies from health plans

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

Similar Codes


ICD10CM codes

O36.1111 - Maternal care for Anti-A sensitization, first trimester, fetus 1
O36.0111 - Maternal care for anti-D [Rh] antibodies, first trimester, fetus 1
Q18.7 - Microcheilia
O36.1121 - Maternal care for Anti-A sensitization, second trimester, fetus 1
O36.1191 - Maternal care for Anti-A sensitization, unspecified trimester, fetus 1
O36.0114 - Maternal care for anti-D [Rh] antibodies, first trimester, fetus 4
O36.0191 - Maternal care for anti-D [Rh] antibodies, unspecified trimester, fetus 1
M31.11 - Hematopoietic stem cell transplantation-associated thrombotic microangiopathy [HSCT-TMA]
O36.1114 - Maternal care for Anti-A sensitization, first trimester, fetus 4
O36.0121 - Maternal care for anti-D [Rh] antibodies, second trimester, fetus 1

HCPCS codes

Q4118 - Matristem micromatrix, 1 mg
A2004 - Xcellistem, 1 mg
Q4112 - Cymetra, injectable, 1 cc
Q4139 - Amniomatrix or biodmatrix, injectable, 1 cc
Q4171 - Interfyl, 1 mg
J7351 - Injection, bimatoprost, intracameral implant, 1 microgram
Q4114 - Integra flowable wound matrix, injectable, 1 cc
Q5101 - Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
J1447 - Injection, tbo-filgrastim, 1 microgram
Q4110 - Primatrix, per square centimeter

CPT4 codes

84150 - Prostaglandin, each
82671 - Estrogens; fractionated
81400 - Molecular pathology procedure, Level 1
88348 - Electron microscopy, diagnostic
85240 - Clotting; factor VIII (AHG), 1-stage
84144 - Progesterone
83864 - Mucopolysaccharides, acid, quantitative
86386 - Nuclear Matrix Protein 22 (NMP22), qualitative
69990 - Microsurgical techniques, requiring use of operating microscope (List separately in addition to code
11951 - Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc