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Q4139
Amniomatrix or biodmatrix, injectable, 1 cc
HCPCS code
Medical Policies and Guidelines for Amniomatrix or biodmatrix, injectable, 1 cc
Related policies from health plans
OSCAR
Bioengineered Skin and Soft Tissue Substitutes (CG030)
CIGNA
Tissue Engineered Skin Substitutes - (0068)
HUMANA
Plantar Fasciitis Treatments
HUMANA
Skin and Tissue Substitutes - Medicare Advantage
Similar Codes
ICD10CM codes
O41.90X1
- Disorder of amniotic fluid and membranes, unspecified, unspecified trimester, fetus 1
O41.93X1
- Disorder of amniotic fluid and membranes, unspecified, third trimester, fetus 1
O41.91X1
- Disorder of amniotic fluid and membranes, unspecified, first trimester, fetus 1
O41.1091
- Infection of amniotic sac and membranes, unspecified, unspecified trimester, fetus 1
O41.1011
- Infection of amniotic sac and membranes, unspecified, first trimester, fetus 1
O41.92X1
- Disorder of amniotic fluid and membranes, unspecified, second trimester, fetus 1
O41.1031
- Infection of amniotic sac and membranes, unspecified, third trimester, fetus 1
O41.91
- Disorder of amniotic fluid and membranes, unspecified, first trimester
O41.1291
- Chorioamnionitis, unspecified trimester, fetus 1
O41.1021
- Infection of amniotic sac and membranes, unspecified, second trimester, fetus 1
HCPCS codes
Q4139
- Amniomatrix or biodmatrix, injectable, 1 cc
Q4114
- Integra flowable wound matrix, injectable, 1 cc
Q4137
- Amnioexcel, amnioexcel plus or biodexcel, per square centimeter
Q4112
- Cymetra, injectable, 1 cc
Q4118
- Matristem micromatrix, 1 mg
Q4117
- Hyalomatrix, per square centimeter
J7322
- Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
J7325
- Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
C9290
- Injection, bupivacaine liposome, 1 mg
J7320
- Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg
CPT4 codes
11951
- Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc
88235
- Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells
11950
- Subcutaneous injection of filling material (eg, collagen); 1 cc or less
59000
- Amniocentesis; diagnostic
59001
- Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance)
82143
- Amniotic fluid scan (spectrophotometric)
11954
- Subcutaneous injection of filling material (eg, collagen); over 10.0 cc
59070
- Transabdominal amnioinfusion, including ultrasound guidance
11952
- Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc
59850
- Induced abortion, by 1 or more intra-amniotic injections (amniocentesis-injections), including hospi