Q4139 Amniomatrix or biodmatrix, injectable, 1 cc

HCPCS code

#### Name of the Procedure:
Amniomatrix or Biodmatrix Injection (Q4139)

#### Summary
In simple terms, this procedure involves injecting a substance derived from human birth tissues (like the amniotic membrane) into a specific area of the body to help heal and regenerate tissues. 

#### Purpose
This procedure is mainly used to promote healing in tissues and joints. It is particularly useful for patients who have injuries, degenerative conditions, or tissue damage that could benefit from regenerative medicine.

#### Indications
- Chronic wounds or ulcers that are not healing properly
- Orthopedic injuries such as tendon or ligament damage
- Degenerative joint diseases like osteoarthritis
- Tissue repair in surgical procedures

#### Preparation
- Follow doctor’s instructions regarding fasting or medication adjustments
- Inform your healthcare provider about all medications and supplements you are taking
- Diagnostic tests like an MRI, X-ray, or blood tests may be required

#### Procedure Description
1. The patient is positioned comfortably, and the target area is cleaned and prepped.
2. Local anesthesia is administered to minimize discomfort.
3. Amniomatrix or Biodmatrix is prepared and drawn up into a syringe.
4. The healthcare provider injects the substance directly into the affected area.
5. The injection site is cleaned and bandaged as necessary.

Tools: syringe, injection needles, antiseptic, local anesthetics.

#### Duration
The procedure typically takes about 30 minutes to an hour, including preparation and post-procedure care.

#### Setting
This procedure is commonly performed in an outpatient clinic or a surgical center.

#### Personnel
- Physician (such as an orthopedic surgeon or a regenerative medicine specialist)
- Nurse or medical assistant
- Anesthesiologist, if deeper sedation is required

#### Risks and Complications
Common risks:
- Temporary pain or discomfort at the injection site
- Minor swelling or bruising

Rare complications:
- Infection
- Allergic reaction
- Failure to achieve desired results

#### Benefits
- Enhanced tissue healing and regeneration
- Reduced pain and inflammation
- Improved function and mobility
- Benefits may start to be noticed within a few weeks

#### Recovery
- Rest the treated area as advised by your healthcare provider
- Follow specific post-procedure care instructions (e.g., avoiding strenuous activities)
- Schedule follow-up appointments as necessary
- Recovery time varies but generally spans a few days to a few weeks

#### Alternatives
- Physical therapy
- Medications like pain relievers or anti-inflammatories
- Other injection therapies (e.g., corticosteroids, PRP)
- Surgical options if necessary

Pros and cons of alternatives should be discussed with your healthcare provider to determine the best treatment plan.

#### Patient Experience
During the procedure, patients may feel a slight prick from the needle and some pressure as the substance is injected. Post-procedure discomfort is usually minor and can be managed with over-the-counter pain relievers and ice packs. Most patients can resume normal activities fairly quickly with minimal downtime.

Medical Policies and Guidelines for Amniomatrix or biodmatrix, injectable, 1 cc

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