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Q4128
Flex hd, allopatch hd, or matrix hd, per square centimeter
HCPCS code
Medical Policies and Guidelines for Flex hd, allopatch hd, or matrix hd, per square centimeter
Related policies from health plans
CIGNA
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
CIGNA
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)
OSCAR
Breast Procedures (CG036)
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)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
HUMANA
Skin and Tissue Substitutes - Medicare Advantage
Similar Codes
ICD10CM codes
T85.623A
- Displacement of artificial skin graft and decellularized allodermis, initial encounter
T85.623
- Displacement of artificial skin graft and decellularized allodermis
T85.623D
- Displacement of artificial skin graft and decellularized allodermis, subsequent encounter
T85.613A
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, initial encounter
T85.613
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis
L91.0
- Hypertrophic scar
T85.613D
- Breakdown (mechanical) of artificial skin graft and decellularized allodermis, subsequent encounter
Q78.1
- Polyostotic fibrous dysplasia
O34.212
- Maternal care for vertical scar from previous cesarean delivery
H35.343
- Macular cyst, hole, or pseudohole, bilateral
HCPCS codes
Q4128
- Flex hd, allopatch hd, or matrix hd, per square centimeter
Q4110
- Primatrix, per square centimeter
Q4116
- Alloderm, per square centimeter
Q4108
- Integra matrix, per square centimeter
Q4117
- Hyalomatrix, per square centimeter
Q4132
- Grafix core and grafixpl core, per square centimeter
Q4186
- Epifix, per square centimeter
Q4131
- Epifix or epicord, per square centimeter
Q4125
- Arthroflex, per square centimeter
Q4195
- Puraply, per square centimeter
CPT4 codes
14301
- Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm
41828
- Excision of hyperplastic alveolar mucosa, each quadrant (specify)
14302
- Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (Li
14021
- Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm
14001
- Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm
41874
- Alveoloplasty, each quadrant (specify)
14020
- Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less
14000
- Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less
15040
- Harvest of skin for tissue cultured skin autograft, 100 sq cm or less
46250
- Hemorrhoidectomy, external, 2 or more columns/groups