Medical Billing Code Search
What is a code?
9012 results found
| P3001 | Screening pap smear by phys | Description: Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician |
| P7001 | Culture bacterial urine | Description: Culture, bacterial, urine; quantitative, sensitivity study |
| P9010 | Whole blood for transfusion | Description: Blood (whole), for transfusion, per unit |
| P9011 | Blood split unit | Description: Blood, split unit |
| P9012 | Cryoprecipitate each unit | Description: Cryoprecipitate, each unit |
| P9016 | Rbc leukocytes reduced | Description: Red blood cells, leukocytes reduced, each unit |
| P9017 | Plasma 1 donor frz w/in 8 hr | Description: Fresh frozen plasma (single donor), frozen within 8 hours of collection, each unit |
| P9019 | Platelets, each unit | Description: Platelets, each unit |
| P9020 | Plaelet rich plasma unit | Description: Platelet rich plasma, each unit |
| P9021 | Red blood cells unit | Description: Red blood cells, each unit |
| P9022 | Washed red blood cells unit | Description: Red blood cells, washed, each unit |
| P9023 | Frozen plasma, pooled, sd | Description: Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit |
| P9025 | Plasma cryo redu path each | Description: Plasma, cryoprecipitate reduced, pathogen reduced, each unit |
| P9026 | Cryo fib comp path redu each | Description: Cryoprecipitated fibrinogen complex, pathogen reduced, each unit |
| P9027 | Rbc o2 co2 reduced | Description: Red blood cells, leukocytes reduced, oxygen/ carbon dioxide reduced, each unit |
| P9031 | Platelets leukocytes reduced | Description: Platelets, leukocytes reduced, each unit |
| P9032 | Platelets, irradiated | Description: Platelets, irradiated, each unit |
| P9033 | Platelets leukoreduced irrad | Description: Platelets, leukocytes reduced, irradiated, each unit |
| P9034 | Platelets, pheresis | Description: Platelets, pheresis, each unit |
| P9035 | Platelet pheres leukoreduced | Description: Platelets, pheresis, leukocytes reduced, each unit |
| P9036 | Platelet pheresis irradiated | Description: Platelets, pheresis, irradiated, each unit |
| P9037 | Plate pheres leukoredu irrad | Description: Platelets, pheresis, leukocytes reduced, irradiated, each unit |
| P9038 | Rbc irradiated | Description: Red blood cells, irradiated, each unit |
| P9039 | Rbc deglycerolized | Description: Red blood cells, deglycerolized, each unit |
| P9040 | Rbc leukoreduced irradiated | Description: Red blood cells, leukocytes reduced, irradiated, each unit |
| P9041 | Albumin (human),5%, 50ml | Description: Infusion, albumin (human), 5%, 50 ml |
| P9043 | Plasma protein fract,5%,50ml | Description: Infusion, plasma protein fraction (human), 5%, 50 ml |
| P9044 | Cryoprecipitatereducedplasma | Description: Plasma, cryoprecipitate reduced, each unit |
| P9045 | Albumin (human), 5%, 250 ml | Description: Infusion, albumin (human), 5%, 250 ml |
| P9046 | Albumin (human), 25%, 20 ml | Description: Infusion, albumin (human), 25%, 20 ml |
| P9047 | Albumin (human), 25%, 50ml | Description: Infusion, albumin (human), 25%, 50 ml |
| P9048 | Plasmaprotein fract,5%,250ml | Description: Infusion, plasma protein fraction (human), 5%, 250 ml |
| P9050 | Granulocytes, pheresis unit | Description: Granulocytes, pheresis, each unit |
| P9051 | Blood, l/r, cmv-neg | Description: Whole blood or red blood cells, leukocytes reduced, cmv-negative, each unit |
| P9052 | Platelets, hla-m, l/r, unit | Description: Platelets, hla-matched leukocytes reduced, apheresis/pheresis, each unit |
| P9053 | Plt, pher, l/r cmv-neg, irr | Description: Platelets, pheresis, leukocytes reduced, cmv-negative, irradiated, each unit |
| P9054 | Blood, l/r, froz/degly/wash | Description: Whole blood or red blood cells, leukocytes reduced, frozen, deglycerol, washed, each unit |
| P9055 | Plt, aph/pher, l/r, cmv-neg | Description: Platelets, leukocytes reduced, cmv-negative, apheresis/pheresis, each unit |
| P9056 | Blood, l/r, irradiated | Description: Whole blood, leukocytes reduced, irradiated, each unit |
| P9057 | Rbc, frz/deg/wsh, l/r, irrad | Description: Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit |
| P9058 | Rbc, l/r, cmv-neg, irrad | Description: Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit |
| P9059 | Plasma, frz between 8-24hour | Description: Fresh frozen plasma between 8-24 hours of collection, each unit |
| P9060 | Fr frz plasma donor retested | Description: Fresh frozen plasma, donor retested, each unit |
| P9070 | Pathogen reduced plasma pool | Description: Plasma, pooled multiple donor, pathogen reduced, frozen, each unit |
| P9071 | Pathogen reduced plasma sing | Description: Plasma (single donor), pathogen reduced, frozen, each unit |
| P9072 | Plate path red/rapid bac tes | Description: Platelets, pheresis, pathogen reduced or rapid bacterial tested, each unit |
| P9073 | Platelets pheresis path redu | Description: Platelets, pheresis, pathogen-reduced, each unit |
| P9099 | Blood component/product noc | Description: Blood component or product not otherwise classified |
| P9100 | Pathogen test for platelets | Description: Pathogen(s) test for platelets |
| P9603 | One-way allow prorated miles | Description: Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
| P9604 | One-way allow prorated trip | Description: Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
| P9612 | Catheterize for urine spec | Description: Catheterization for collection of specimen, single patient, all places of service |
| P9615 | Urine specimen collect mult | Description: Catheterization for collection of specimen(s) (multiple patients) |
| Q0035 | Cardiokymography | Description: Cardiokymography |
| Q0081 | Infusion ther other than che | Description: Infusion therapy, using other than chemotherapeutic drugs, per visit |
| Q0083 | Chemo by other than infusion | Description: Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit |
| Q0084 | Chemotherapy by infusion | Description: Chemotherapy administration by infusion technique only, per visit |
| Q0085 | Chemo by both infusion and o | Description: Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit |
| Q0091 | Obtaining screen pap smear | Description: Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
| Q0092 | Set up port xray equipment | Description: Set-up portable x-ray equipment |
| Q0111 | Wet mounts/ w preparations | Description: Wet mounts, including preparations of vaginal, cervical or skin specimens |
| Q0112 | Potassium hydroxide preps | Description: All potassium hydroxide (koh) preparations |
| Q0113 | Pinworm examinations | Description: Pinworm examinations |
| Q0114 | Fern test | Description: Fern test |
| Q0115 | Post-coital mucous exam | Description: Post-coital direct, qualitative examinations of vaginal or cervical mucous |
| Q0138 | Ferumoxytol, non-esrd | Description: Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) |
| Q0139 | Ferumoxytol, esrd use | Description: Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis) |
| Q0144 | Azithromycin dihydrate, oral | Description: Azithromycin dihydrate, oral, capsules/powder, 1 gram |
| Q0155 | Dronabinol (syndros) 0.1 mg | Description: Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0161 | Chlorpromazine hcl 5mg oral | Description: Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0162 | Ondansetron oral | Description: Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0163 | Diphenhydramine hcl 50mg | Description: Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen |
| Q0164 | Prochlorperazine maleate 5mg | Description: Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0166 | Granisetron hcl 1 mg oral | Description: Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen |
| Q0167 | Dronabinol 2.5mg oral | Description: Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0169 | Promethazine hcl 12.5mg oral | Description: Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0173 | Trimethobenzamide hcl 250mg | Description: Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0174 | Thiethylperazine maleate10mg | Description: Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0175 | Perphenazine 4mg oral | Description: Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0177 | Hydroxyzine pamoate 25mg | Description: Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0180 | Dolasetron mesylate oral | Description: Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen |
| Q0181 | Unspecified oral anti-emetic | Description: Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
| Q0220 | Tixagev and cilgav, 300mg | Description: Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 300 mg |
| Q0221 | Tixagev and cilgav, 600mg | Description: Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), 600 mg |
| Q0222 | Bebtelovimab 175 mg | Description: Injection, bebtelovimab, 175 mg |
| Q0224 | Inj, pemivibart, 4500 mg | Description: Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg |
| Q0235 | Inj, monoclon antibody, 1 mg | Description: Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, not otherwise classified, 1 mg |
| Q0237 | Inj, tocilizumab-anoh, hospi | Description: Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg |
| Q0239 | Bamlanivimab-xxxx | Description: Injection, bamlanivimab-xxxx, 700 mg |
| Q0240 | Casirivi and imdevi 600 mg | Description: Injection, casirivimab and imdevimab, 600 mg |
| Q0243 | Casirivimab and imdevimab | Description: Injection, casirivimab and imdevimab, 2400 mg |
| Q0244 | Casirivi and imdevi 1200 mg | Description: Injection, casirivimab and imdevimab, 1200 mg |
| Q0245 | Bamlanivimab and etesevima | Description: Injection, bamlanivimab and etesevimab, 2100 mg |
| Q0247 | Sotrovimab | Description: Injection, sotrovimab, 500 mg |
| Q0249 | Tocilizumab for covid-19 | Description: Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg |
| Q0477 | Pwr module pt cable lvad rpl | Description: Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0478 | Power adapter, combo vad | Description: Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type |
| Q0479 | Power module combo vad, rep | Description: Power module for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0480 | Driver pneumatic vad, rep | Description: Driver for use with pneumatic ventricular assist device, replacement only |
| Q0481 | Microprcsr cu elec vad, rep | Description: Microprocessor control unit for use with electric ventricular assist device, replacement only |
| Q0482 | Microprcsr cu combo vad, rep | Description: Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only |
| Q0483 | Monitor elec vad, rep | Description: Monitor/display module for use with electric ventricular assist device, replacement only |
| Q0484 | Monitor elec or comb vad rep | Description: Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0485 | Monitor cable elec vad, rep | Description: Monitor control cable for use with electric ventricular assist device, replacement only |
| Q0486 | Mon cable elec/pneum vad rep | Description: Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only |
| Q0487 | Leads any type vad, rep only | Description: Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only |
| Q0488 | Pwr pack base elec vad, rep | Description: Power pack base for use with electric ventricular assist device, replacement only |
| Q0489 | Pwr pck base combo vad, rep | Description: Power pack base for use with electric/pneumatic ventricular assist device, replacement only |
| Q0490 | Emr pwr source elec vad, rep | Description: Emergency power source for use with electric ventricular assist device, replacement only |
| Q0491 | Emr pwr source combo vad rep | Description: Emergency power source for use with electric/pneumatic ventricular assist device, replacement only |
| Q0492 | Emr pwr cbl elec vad, rep | Description: Emergency power supply cable for use with electric ventricular assist device, replacement only |
| Q0493 | Emr pwr cbl combo vad, rep | Description: Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only |
| Q0494 | Emr hd pmp elec/combo, rep | Description: Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0495 | Charger elec/combo vad, rep | Description: Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0496 | Battery elec/combo vad, rep | Description: Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0497 | Bat clps elec/comb vad, rep | Description: Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0498 | Holster elec/combo vad, rep | Description: Holster for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0499 | Belt/vest elec/combo vad rep | Description: Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only |
| Q0500 | Filters elec/combo vad, rep | Description: Filters for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0501 | Shwr cov elec/combo vad, rep | Description: Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0502 | Mobility cart pneum vad, rep | Description: Mobility cart for pneumatic ventricular assist device, replacement only |
| Q0503 | Battery pneum vad replacemnt | Description: Battery for pneumatic ventricular assist device, replacement only, each |
| Q0504 | Pwr adpt pneum vad, rep veh | Description: Power adapter for pneumatic ventricular assist device, replacement only, vehicle type |
| Q0506 | Lith-ion batt elec/pneum vad | Description: Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only |
| Q0507 | Misc sup/acc ext vad | Description: Miscellaneous supply or accessory for use with an external ventricular assist device |
| Q0508 | Mis sup/acc imp vad | Description: Miscellaneous supply or accessory for use with an implanted ventricular assist device |
| Q0509 | Mis sup/ac imp vad nopay med | Description: Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a |
| Q0510 | Dispens fee immunosupressive | Description: Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant |
| Q0511 | Sup fee antiem,antica,immuno | Description: Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
| Q0512 | Px sup fee anti-can sub pres | Description: Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
| Q0513 | Disp fee inhal drugs/30 days | Description: Pharmacy dispensing fee for inhalation drug(s); per 30 days |
| Q0514 | Disp fee inhal drugs/90 days | Description: Pharmacy dispensing fee for inhalation drug(s); per 90 days |
| Q0515 | Sermorelin acetate injection | Description: Injection, sermorelin acetate, 1 microgram |
| Q0516 | Supply fee hiv prep oral 30 | Description: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 30-days |
| Q0517 | Supply fee hiv prep oral 60 | Description: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 60-days |
| Q0518 | Supply fee hiv prep oral 90 | Description: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription oral drug, per 90-days |
| Q0519 | Supply fee hiv prep inj 30 | Description: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 30-days |
| Q0520 | Supply fee hiv prep inj 60 | Description: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription injectable drug, per 60-days |
| Q0521 | Supply fee hiv prep fda appr | Description: Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription |
| Q1004 | Ntiol category 4 | Description: New technology intraocular lens category 4 as defined in federal register notice |
| Q1005 | Ntiol category 5 | Description: New technology intraocular lens category 5 as defined in federal register notice |
| Q2004 | Bladder calculi irrig sol | Description: Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml |
| Q2009 | Fosphenytoin inj pe | Description: Injection, fosphenytoin, 50 mg phenytoin equivalent |
| Q2017 | Teniposide, 50 mg | Description: Injection, teniposide, 50 mg |
| Q2026 | Radiesse injection | Description: Injection, radiesse, 0.1 ml |
| Q2028 | Inj, sculptra, 0.5mg | Description: Injection, sculptra, 0.5 mg |
| Q2034 | Agriflu vaccine | Description: Influenza virus vaccine, split virus, for intramuscular use (agriflu) |
| Q2035 | Afluria vacc, 3 yrs & >, im | Description: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
| Q2036 | Flulaval vacc, 3 yrs & >, im | Description: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
| Q2037 | Fluvirin vacc, 3 yrs & >, im | Description: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
| Q2038 | Fluzone vacc, 3 yrs & >, im | Description: Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
| Q2039 | Influenza virus vaccine, nos | Description: Influenza virus vaccine, not otherwise specified |
| Q2040 | Tisagenlecleucel car-pos t | Description: Tisagenlecleucel, up to 250 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion |
| Q2041 | Axicabtagene ciloleucel car+ | Description: Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2042 | Tisagenlecleucel car-pos t | Description: Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2043 | Sipuleucel-t auto cd54+ | Description: Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion |
| Q2049 | Imported lipodox inj | Description: Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg |
| Q2050 | Doxorubicin inj 10mg | Description: Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg |
| Q2052 | Home ivig, services/supplies | Description: Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig) |
| Q2053 | Brexucabtagene car pos t | Description: Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2054 | Lisocabtagene mara car pos t | Description: Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2055 | Idecabtagene vicleucel car | Description: Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2056 | Ciltacabtagene car-pos t | Description: Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2057 | Afamitresgene autoleucel | Description: Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q2058 | Obecbtge autol up to 400 mil | Description: Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion |
| Q3001 | Brachytherapy radioelements | Description: Radioelements for brachytherapy, any type, each |
| Q3014 | Telehealth facility fee | Description: Telehealth originating site facility fee |
| Q3027 | Inj beta interferon im 1 mcg | Description: Injection, interferon beta-1a, 1 mcg for intramuscular use |
| Q3028 | Inj beta interferon sq 1 mcg | Description: Injection, interferon beta-1a, 1 mcg for subcutaneous use |
| Q3031 | Collagen skin test | Description: Collagen skin test |
| Q4001 | Cast sup body cast plaster | Description: Casting supplies, body cast adult, with or without head, plaster |
| Q4002 | Cast sup body cast fiberglas | Description: Cast supplies, body cast adult, with or without head, fiberglass |
| Q4003 | Cast sup shoulder cast plstr | Description: Cast supplies, shoulder cast, adult (11 years +), plaster |
| Q4004 | Cast sup shoulder cast fbrgl | Description: Cast supplies, shoulder cast, adult (11 years +), fiberglass |
| Q4005 | Cast sup long arm adult plst | Description: Cast supplies, long arm cast, adult (11 years +), plaster |
| Q4006 | Cast sup long arm adult fbrg | Description: Cast supplies, long arm cast, adult (11 years +), fiberglass |
| Q4007 | Cast sup long arm ped plster | Description: Cast supplies, long arm cast, pediatric (0-10 years), plaster |
| Q4008 | Cast sup long arm ped fbrgls | Description: Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
| Q4009 | Cast sup sht arm adult plstr | Description: Cast supplies, short arm cast, adult (11 years +), plaster |
| Q4010 | Cast sup sht arm adult fbrgl | Description: Cast supplies, short arm cast, adult (11 years +), fiberglass |
| Q4011 | Cast sup sht arm ped plaster | Description: Cast supplies, short arm cast, pediatric (0-10 years), plaster |
| Q4012 | Cast sup sht arm ped fbrglas | Description: Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
| Q4013 | Cast sup gauntlet plaster | Description: Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster |
| Q4014 | Cast sup gauntlet fiberglass | Description: Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass |
| Q4015 | Cast sup gauntlet ped plster | Description: Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster |
| Q4016 | Cast sup gauntlet ped fbrgls | Description: Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass |
| Q4017 | Cast sup lng arm splint plst | Description: Cast supplies, long arm splint, adult (11 years +), plaster |
| Q4018 | Cast sup lng arm splint fbrg | Description: Cast supplies, long arm splint, adult (11 years +), fiberglass |
| Q4019 | Cast sup lng arm splnt ped p | Description: Cast supplies, long arm splint, pediatric (0-10 years), plaster |
| Q4020 | Cast sup lng arm splnt ped f | Description: Cast supplies, long arm splint, pediatric (0-10 years), fiberglass |
| Q4021 | Cast sup sht arm splint plst | Description: Cast supplies, short arm splint, adult (11 years +), plaster |
| Q4022 | Cast sup sht arm splint fbrg | Description: Cast supplies, short arm splint, adult (11 years +), fiberglass |
| Q4023 | Cast sup sht arm splnt ped p | Description: Cast supplies, short arm splint, pediatric (0-10 years), plaster |
| Q4024 | Cast sup sht arm splnt ped f | Description: Cast supplies, short arm splint, pediatric (0-10 years), fiberglass |
| Q4025 | Cast sup hip spica plaster | Description: Cast supplies, hip spica (one or both legs), adult (11 years +), plaster |
| Q4026 | Cast sup hip spica fiberglas | Description: Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass |
| Q4027 | Cast sup hip spica ped plstr | Description: Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster |
| Q4028 | Cast sup hip spica ped fbrgl | Description: Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass |
| Q4029 | Cast sup long leg plaster | Description: Cast supplies, long leg cast, adult (11 years +), plaster |
| Q4030 | Cast sup long leg fiberglass | Description: Cast supplies, long leg cast, adult (11 years +), fiberglass |
| Q4031 | Cast sup lng leg ped plaster | Description: Cast supplies, long leg cast, pediatric (0-10 years), plaster |
| Q4032 | Cast sup lng leg ped fbrgls | Description: Cast supplies, long leg cast, pediatric (0-10 years), fiberglass |
| Q4033 | Cast sup lng leg cylinder pl | Description: Cast supplies, long leg cylinder cast, adult (11 years +), plaster |
| Q4034 | Cast sup lng leg cylinder fb | Description: Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass |
| Q4035 | Cast sup lngleg cylndr ped p | Description: Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster |
| Q4036 | Cast sup lngleg cylndr ped f | Description: Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass |
| Q4037 | Cast sup shrt leg plaster | Description: Cast supplies, short leg cast, adult (11 years +), plaster |
| Q4038 | Cast sup shrt leg fiberglass | Description: Cast supplies, short leg cast, adult (11 years +), fiberglass |
| Q4039 | Cast sup shrt leg ped plster | Description: Cast supplies, short leg cast, pediatric (0-10 years), plaster |
| Q4040 | Cast sup shrt leg ped fbrgls | Description: Cast supplies, short leg cast, pediatric (0-10 years), fiberglass |
| Q4041 | Cast sup lng leg splnt plstr | Description: Cast supplies, long leg splint, adult (11 years +), plaster |
| Q4042 | Cast sup lng leg splnt fbrgl | Description: Cast supplies, long leg splint, adult (11 years +), fiberglass |
| Q4043 | Cast sup lng leg splnt ped p | Description: Cast supplies, long leg splint, pediatric (0-10 years), plaster |
| Q4044 | Cast sup lng leg splnt ped f | Description: Cast supplies, long leg splint, pediatric (0-10 years), fiberglass |
| Q4045 | Cast sup sht leg splnt plstr | Description: Cast supplies, short leg splint, adult (11 years +), plaster |
| Q4046 | Cast sup sht leg splnt fbrgl | Description: Cast supplies, short leg splint, adult (11 years +), fiberglass |
| Q4047 | Cast sup sht leg splnt ped p | Description: Cast supplies, short leg splint, pediatric (0-10 years), plaster |
| Q4048 | Cast sup sht leg splnt ped f | Description: Cast supplies, short leg splint, pediatric (0-10 years), fiberglass |
| Q4049 | Finger splint, static | Description: Finger splint, static |
| Q4050 | Cast supplies unlisted | Description: Cast supplies, for unlisted types and materials of casts |
| Q4051 | Splint supplies misc | Description: Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
| Q4074 | Iloprost non-comp unit dose | Description: Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms |
| Q4081 | Epoetin alfa, 100 units esrd | Description: Injection, epoetin alfa, 100 units (for esrd on dialysis) |
| Q4082 | Drug/bio noc part b drug cap | Description: Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap) |
| Q4100 | Skin substitute, nos | Description: Skin substitute, not otherwise specified |
| Q4101 | Apligraf | Description: Apligraf, per square centimeter |
| Q4102 | Oasis wound matrix | Description: Oasis wound matrix, per square centimeter |
| Q4103 | Oasis burn matrix | Description: Oasis burn matrix, per square centimeter |
| Q4104 | Integra bmwd | Description: Integra bilayer matrix wound dressing (bmwd), per square centimeter |
| Q4105 | Integra drt or omnigraft | Description: Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter |
| Q4106 | Dermagraft | Description: Dermagraft, per square centimeter |
| Q4107 | Graftjacket | Description: Graftjacket, per square centimeter |
| Q4108 | Integra matrix | Description: Integra matrix, per square centimeter |
| Q4110 | Primatrix | Description: Primatrix, per square centimeter |
| Q4111 | Gammagraft | Description: Gammagraft, per square centimeter |
| Q4112 | Cymetra injectable | Description: Cymetra, injectable, 1 cc |
| Q4113 | Graftjacket xpress | Description: Graftjacket xpress, injectable, 1 cc |
| Q4114 | Integra flowable wound matri | Description: Integra flowable wound matrix, injectable, 1 cc |
| Q4115 | Alloskin | Description: Alloskin, per square centimeter |
| Q4116 | Alloderm | Description: Alloderm, per square centimeter |
| Q4117 | Hyalomatrix | Description: Hyalomatrix, per square centimeter |
| Q4118 | Matristem micromatrix | Description: Matristem micromatrix, 1 mg |
| Q4119 | Matristem wound matrix | Description: Matristem wound matrix, per square centimeter |
| Q4120 | Matristem burn matrix | Description: Matristem burn matrix, per square centimeter |
| Q4121 | Theraskin | Description: Theraskin, per square centimeter |
| Q4122 | Dermacell, awm, porous sq cm | Description: Dermacell, dermacell awm or dermacell awm porous, per square centimeter |
| Q4123 | Alloskin | Description: Alloskin rt, per square centimeter |
| Q4124 | Oasis tri-layer wound matrix | Description: Oasis ultra tri-layer wound matrix, per square centimeter |
| Q4125 | Arthroflex | Description: Arthroflex, per square centimeter |
| Q4126 | Memoderm/derma/tranz/integup | Description: Memoderm, dermaspan, tranzgraft or integuply, per square centimeter |
| Q4127 | Talymed | Description: Talymed, per square centimeter |
| Q4128 | Flexhd/allopatchhd/sq cm | Description: Flex hd, or allopatch hd, per square centimeter |
| Q4129 | Unite biomatrix | Description: Unite biomatrix, per square centimeter |
| Q4130 | Strattice tm | Description: Strattice tm, per square centimeter |
| Q4131 | Epifix or epicord | Description: Epifix or epicord, per square centimeter |
| Q4132 | Grafix core, grafixpl core | Description: Grafix core and grafixpl core, per square centimeter |
| Q4133 | Grafix stravix prime pl sqcm | Description: Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter |
| Q4134 | Hmatrix | Description: Hmatrix, per square centimeter |
| Q4135 | Mediskin | Description: Mediskin, per square centimeter |
| Q4136 | Ezderm | Description: Ez-derm, per square centimeter |
| Q4137 | Amnioexcel biodexcel 1sq cm | Description: Amnioexcel, amnioexcel plus or biodexcel, per square centimeter |
| Q4138 | Biodfence dryflex, 1cm | Description: Biodfence dryflex, per square centimeter |
| Q4139 | Amnio or biodmatrix, inj 1cc | Description: Amniomatrix or biodmatrix, injectable, 1 cc |
| Q4140 | Biodfence 1cm | Description: Biodfence, per square centimeter |
| Q4141 | Alloskin ac, 1 cm | Description: Alloskin ac, per square centimeter |
| Q4142 | Xcm biologic tiss matrix 1cm | Description: Xcm biologic tissue matrix, per square centimeter |
| Q4143 | Repriza, 1cm | Description: Repriza, per square centimeter |
| Q4145 | Epifix, inj, 1mg | Description: Epifix, injectable, 1 mg |
| Q4146 | Tensix, 1cm | Description: Tensix, per square centimeter |
| Q4147 | Architect ecm px fx 1 sq cm | Description: Architect, architect px, or architect fx, extracellular matrix, per square centimeter |
| Q4148 | Neox neox rt or clarix cord | Description: Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter |
| Q4149 | Excellagen, 0.1 cc | Description: Excellagen, 0.1 cc |
| Q4150 | Allowrap ds or dry 1 sq cm | Description: Allowrap ds or dry, per square centimeter |
| Q4151 | Amnioband, guardian 1 sq cm | Description: Amnioband or guardian, per square centimeter |
| Q4152 | Dermapure 1 square cm | Description: Dermapure, per square centimeter |
| Q4153 | Dermavest, plurivest sq cm | Description: Dermavest and plurivest, per square centimeter |
| Q4154 | Biovance 1 square cm | Description: Biovance, per square centimeter |
| Q4155 | Neoxflo or clarixflo 1 mg | Description: Neoxflo or clarixflo, 1 mg |
| Q4156 | Neox 100 or clarix 100 | Description: Neox 100 or clarix 100, per square centimeter |
| Q4157 | Revitalon 1 square cm | Description: Revitalon, per square centimeter |
| Q4158 | Kerecis omega3, per sq cm | Description: Kerecis omega3, per square centimeter |
| Q4159 | Affinity1 square cm | Description: Affinity, per square centimeter |
| Q4160 | Nushield 1 square cm | Description: Nushield, per square centimeter |
| Q4161 | Bio-connekt per square cm | Description: Bio-connekt wound matrix, per square centimeter |
| Q4162 | Wndex flw, bioskn flw, 0.5cc | Description: Woundex flow, bioskin flow, 0.5 cc |
| Q4163 | Woundex, bioskin, per sq cm | Description: Woundex, bioskin, per square centimeter |
| Q4164 | Helicoll, per square cm | Description: Helicoll, per square centimeter |
| Q4165 | Keramatrix, kerasorb sq cm | Description: Keramatrix or kerasorb, per square centimeter |
| Q4166 | Cytal, per square centimeter | Description: Cytal, per square centimeter |
| Q4167 | Truskin, per sq centimeter | Description: Truskin, per square centimeter |
| Q4168 | Amnioband, 1 mg | Description: Amnioband, 1 mg |
| Q4169 | Artacent wound, per sq cm | Description: Artacent wound, per square centimeter |
| Q4170 | Cygnus, per sq cm | Description: Cygnus, per square centimeter |
| Q4171 | Interfyl, 1 mg | Description: Interfyl, 1 mg |
| Q4172 | Puraply or puraply am | Description: Puraply or puraply am, per square centimeter |
| Q4173 | Palingen or palingen xplus | Description: Palingen or palingen xplus, per square centimeter |
| Q4174 | Palingen or promatrx | Description: Palingen or promatrx, 0.36 mg per 0.25 cc |
| Q4175 | Miroderm | Description: Miroderm, per square centimeter |
| Q4176 | Neopatch or therion, 1 sq cm | Description: Neopatch or therion, per square centimeter |
| Q4177 | Floweramnioflo, 0.1 cc | Description: Floweramnioflo, 0.1 cc |
| Q4178 | Floweramniopatch, per sq cm | Description: Floweramniopatch, per square centimeter |
| Q4179 | Flowerderm, per sq cm | Description: Flowerderm, per square centimeter |
| Q4180 | Revita, per sq cm | Description: Revita, per square centimeter |
| Q4181 | Amnio wound, per square cm | Description: Amnio wound, per square centimeter |
| Q4182 | Transcyte, per sq centimeter | Description: Transcyte, per square centimeter |
| Q4183 | Surgigraft, 1 sq cm | Description: Surgigraft, per square centimeter |
| Q4184 | Cellesta or duo per sq cm | Description: Cellesta or cellesta duo, per square centimeter |
| Q4185 | Cellesta flowab amnion 0.5cc | Description: Cellesta flowable amnion (25 mg per cc); per 0.5 cc |
| Q4186 | Epifix 1 sq cm | Description: Epifix, per square centimeter |
| Q4187 | Epicord 1 sq cm | Description: Epicord, per square centimeter |
| Q4188 | Amnioarmor 1 sq cm | Description: Amnioarmor, per square centimeter |
| Q4189 | Artacent ac, 1 mg | Description: Artacent ac, 1 mg |
| Q4190 | Artacent ac 1 sq cm | Description: Artacent ac, per square centimeter |
| Q4191 | Restorigin 1 sq cm | Description: Restorigin, per square centimeter |
| Q4192 | Restorigin, 1 cc | Description: Restorigin, 1 cc |
| Q4193 | Coll-e-derm 1 sq cm | Description: Coll-e-derm, per square centimeter |
| Q4194 | Novachor 1 sq cm | Description: Novachor, per square centimeter |
| Q4195 | Puraply 1 sq cm | Description: Puraply, per square centimeter |
| Q4196 | Puraply am 1 sq cm | Description: Puraply am, per square centimeter |
| Q4197 | Puraply xt 1 sq cm | Description: Puraply xt, per square centimeter |
| Q4198 | Genesis amnio membrane 1sqcm | Description: Genesis amniotic membrane, per square centimeter |
| Q4199 | Cygnus matrix, per sq cm | Description: Cygnus matrix, per square centimeter |
| Q4200 | Skin te 1 sq cm | Description: Skin te, per square centimeter |
| Q4201 | Matrion 1 sq cm | Description: Matrion, per square centimeter |
| Q4202 | Keroxx (2.5g/cc), 1cc | Description: Keroxx (2.5g/cc), 1cc |
| Q4203 | Derma-gide, 1 sq cm | Description: Derma-gide, per square centimeter |
| Q4204 | Xwrap 1 sq cm | Description: Xwrap, per square centimeter |
| Q4205 | Membrane graft or wrap sq cm | Description: Membrane graft or membrane wrap, per square centimeter |
| Q4206 | Fluid flow or fluid gf 1 cc | Description: Fluid flow or fluid gf, 1 cc |
| Q4208 | Novafix per sq cm | Description: Novafix, per square cenitmeter |
| Q4209 | Surgraft per sq cm | Description: Surgraft, per square centimeter |
| Q4210 | Axolotl graf dualgraf sq cm | Description: Axolotl graft or axolotl dualgraft, per square centimeter |
| Q4211 | Amnion bio or axobio sq cm | Description: Amnion bio or axobiomembrane, per square centimeter |
| Q4212 | Allogen, per cc | Description: Allogen, per cc |
| Q4213 | Ascent, 0.5 mg | Description: Ascent, 0.5 mg |
| Q4214 | Cellesta cord per sq cm | Description: Cellesta cord, per square centimeter |
| Q4215 | Axolotl ambient, cryo 0.1 mg | Description: Axolotl ambient or axolotl cryo, 0.1 mg |
| Q4216 | Artacent cord per sq cm | Description: Artacent cord, per square centimeter |
| Q4217 | Woundfix biowound plus xplus | Description: Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter |
| Q4218 | Surgicord per sq cm | Description: Surgicord, per square centimeter |
| Q4219 | Surgigraft dual per sq cm | Description: Surgigraft-dual, per square centimeter |
| Q4220 | Bellacell hd, surederm sq cm | Description: Bellacell hd or surederm, per square centimeter |
| Q4221 | Amniowrap2 per sq cm | Description: Amniowrap2, per square centimeter |
| Q4222 | Progenamatrix, per sq cm | Description: Progenamatrix, per square centimeter |
| Q4224 | Hhf10-p per sq cm | Description: Human health factor 10 amniotic patch (hhf10-p), per square centimeter |
| Q4225 | Amnio or derma tl, per sq cm | Description: Amniobind or dermabind tl, per square centimeter |
| Q4226 | Myown harv prep proc sq cm | Description: Myown skin, includes harvesting and preparation procedures, per square centimeter |
| Q4227 | Amniocore per sq cm | Description: Amniocore, per square centimeter |
| Q4228 | Bionextpatch, per sq cm | Description: Bionextpatch, per square centimeter |
| Q4229 | Cogenex amnio memb per sq cm | Description: Cogenex amniotic membrane, per square centimeter |
| Q4230 | Cogenex flow amnion 0.5 cc | Description: Cogenex flowable amnion, per 0.5 cc |
| Q4231 | Corplex p, per cc | Description: Corplex p, per cc |
| Q4232 | Corplex, per sq cm | Description: Corplex, per square centimeter |
| Q4233 | Surfactor /nudyn per 0.5 cc | Description: Surfactor or nudyn, per 0.5 cc |
| Q4234 | Xcellerate, per sq cm | Description: Xcellerate, per square centimeter |
| Q4235 | Amniorepair or altiply sq cm | Description: Amniorepair or altiply, per square centimeter |
| Q4236 | Carepatch per sq cm | Description: Carepatch, per square centimeter |
| Q4237 | Cryo-cord, per sq cm | Description: Cryo-cord, per square centimeter |
| Q4238 | Derm-maxx, per sq cm | Description: Derm-maxx, per square centimeter |
| Q4239 | Amnio-maxx or lite per sq cm | Description: Amnio-maxx or amnio-maxx lite, per square centimeter |
| Q4240 | Corecyte topical only 0.5 cc | Description: Corecyte, for topical use only, per 0.5 cc |
| Q4241 | Polycyte, topical only 0.5cc | Description: Polycyte, for topical use only, per 0.5 cc |
| Q4242 | Amniocyte plus, per 0.5 cc | Description: Amniocyte plus, per 0.5 cc |
| Q4244 | Procenta, per 200 mg | Description: Procenta, per 200 mg |
| Q4245 | Amniotext, per cc | Description: Amniotext, per cc |
| Q4246 | Coretext or protext, per cc | Description: Coretext or protext, per cc |
| Q4247 | Amniotext patch, per sq cm | Description: Amniotext patch, per square centimeter |
| Q4248 | Dermacyte amn mem allo sq cm | Description: Dermacyte amniotic membrane allograft, per square centimeter |
| Q4249 | Amniply, per sq cm | Description: Amniply, for topical use only, per square centimeter |
| Q4250 | Amnioamp-mp per sq cm | Description: Amnioamp-mp, per square centimeter |
| Q4251 | Vim, per square centimeter | Description: Vim, per square centimeter |
| Q4252 | Vendaje, per square centimet | Description: Vendaje, per square centimeter |
| Q4253 | Zenith amniotic membrane psc | Description: Zenith amniotic membrane, per square centimeter |
| Q4254 | Novafix dl per sq cm | Description: Novafix dl, per square centimeter |
| Q4255 | Reguard, topical use per sq | Description: Reguard, for topical use only, per square centimeter |
| Q4256 | Mlg complet, per sq cm | Description: Mlg-complete, per square centimeter |
| Q4257 | Relese, per sq cm | Description: Relese, per square centimeter |
| Q4258 | Enverse, per sq cm | Description: Enverse, per square centimeter |
| Q4259 | Celera per sq cm | Description: Celera dual layer or celera dual membrane, per square centimeter |
| Q4260 | Signature apatch, per sq cm | Description: Signature apatch, per square centimeter |
| Q4261 | Tag, per square centimeter | Description: Tag, per square centimeter |
| Q4262 | Dual layer impax, per sq cm | Description: Dual layer impax membrane, per square centimeter |
| Q4263 | Surgraft tl, per sq cm | Description: Surgraft tl, per square centimeter |
| Q4264 | Cocoon membrane, per sq cm | Description: Cocoon membrane, per square centimeter |
| Q4265 | Neostim tl per sq cm | Description: Neostim tl, per square centimeter |
| Q4266 | Neostim per sq cm | Description: Neostim membrane, per square centimeter |
| Q4267 | Neostim dl per sq cm | Description: Neostim dl, per square centimeter |
| Q4268 | Surgraft ft per sq cm | Description: Surgraft ft, per square centimeter |
| Q4269 | Surgraft xt per sq cm | Description: Surgraft xt, per square centimeter |
| Q4270 | Complete sl per sq cm | Description: Complete sl, per square centimeter |
| Q4271 | Complete ft per sq cm | Description: Complete ft, per square centimeter |
| Q4272 | Esano a, per sq cm | Description: Esano a, per square centimeter |
| Q4273 | Esano aaa, per sq cm | Description: Esano aaa, per square centimeter |
| Q4274 | Esano ac, per sq cm | Description: Esano ac, per square centimeter |
| Q4275 | Esano aca, per sq cm | Description: Esano aca, per square centimeter |
| Q4276 | Orion, per sq cm | Description: Orion, per square centimeter |
| Q4277 | Woundplus e-grat, per sq cm | Description: Woundplus membrane or e-graft, per square centimeter |
| Q4278 | Epieffect, per sq cm | Description: Epieffect, per square centimeter |
| Q4279 | Vendaje ac, per sq cm | Description: Vendaje ac, per square centimeter |
| Q4280 | Xcell amnio matrix per sq cm | Description: Xcell amnio matrix, per square centimeter |
| Q4281 | Barrera slor dl per sq cm | Description: Barrera sl or barrera dl, per square centimeter |
| Q4282 | Cygnus dual per sq cm | Description: Cygnus dual, per square centimeter |
| Q4283 | Biovance tri or 3l, sq cm | Description: Biovance tri-layer or biovance 3l, per square centimeter |
| Q4284 | Dermabind sl, per sq cm | Description: Dermabind sl, per square centimeter |
| Q4285 | Nudyn dl or dl mesh pr sq cm | Description: Nudyn dl or nudyn dl mesh, per square centimeter |
| Q4286 | Nudyn sl or slw, per sq cm | Description: Nudyn sl or nudyn slw, per square centimeter |
| Q4287 | Dermabind dl, per sq cm | Description: Dermabind dl, per square centimeter |
| Q4288 | Dermabind ch, per sq cm | Description: Dermabind ch, per square centimeter |
| Q4289 | Revoshield+ amnio, per sq cm | Description: Revoshield + amniotic barrier, per square centimeter |
| Q4290 | Membrane wrap hydr per sq cm | Description: Membrane wrap-hydro, per square centimeter |
| Q4291 | Lamellas xt, per sq cm | Description: Lamellas xt, per square centimeter |
| Q4292 | Lamellas, per sq cm | Description: Lamellas, per square centimeter |
| Q4293 | Acesso dl, per sq cm | Description: Acesso dl, per square centimeter |
| Q4294 | Amnio quad-core, per sq cm | Description: Amnio quad-core, per square centimeter |
| Q4295 | Amnio tri-core, per sq cm | Description: Amnio tri-core amniotic, per square centimeter |
| Q4296 | Rebound matrix, per sq cm | Description: Rebound matrix, per square centimeter |
| Q4297 | Emerge matrix, per sq cm | Description: Emerge matrix, per square centimeter |
| Q4298 | Amnicore pro, per sq cm | Description: Amnicore pro, per square centimeter |
| Q4299 | Amnicore pro+, per sq cm | Description: Amnicore pro+, per square centimeter |
| Q4300 | Acesso tl, per sq cm | Description: Acesso tl, per square centimeter |
| Q4301 | Activate matrix, per sq cm | Description: Activate matrix, per square centimeter |
| Q4302 | Complete aca, per sq cm | Description: Complete aca, per square centimeter |
| Q4303 | Complete aa, per sq cm | Description: Complete aa, per square centimeter |
| Q4304 | Grafix plus, per sq cm | Description: Grafix plus, per square centimeter |
| Q4305 | Amer am ac tri-lay per sq cm | Description: American amnion ac tri-layer, per square centimeter |
| Q4306 | Americ amnion ac per sq cm | Description: American amnion ac, per square centimeter |
| Q4307 | American amnion, per sq cm | Description: American amnion, per square centimeter |
| Q4308 | Sanopellis, per sq cm | Description: Sanopellis, per square centimeter |
| Q4309 | Via matrix, per sq cm | Description: Via matrix, per square centimeter |
| Q4310 | Procenta, per 100 mg | Description: Procenta, per 100 mg |
| Q4311 | Acesso, per sq cm | Description: Acesso, per square centimeter |
| Q4312 | Acesso ac, per sq cm | Description: Acesso ac, per square centimeter |
| Q4313 | Dermabind fm, per sq cm | Description: Dermabind fm, per square centimeter |
| Q4314 | Reeva, per sq cm | Description: Reeva ft, per square cenitmeter |
| Q4315 | Regenelink amniotic mem allo | Description: Regenelink amniotic membrane allograft, per square centimeter |
| Q4316 | Amchoplast, per sq cm | Description: Amchoplast, per square centimeter |
| Q4317 | Vitograft, per sq cm | Description: Vitograft, per square centimeter |
| Q4318 | E-graft, per sq cm | Description: E-graft, per square centimeter |
| Q4319 | Sanograft, per sq cm | Description: Sanograft, per square centimeter |
| Q4320 | Pellograft, per sq cm | Description: Pellograft, per square centimeter |
| Q4321 | Renograft, per sq cm | Description: Renograft, per square centimeter |
| Q4322 | Caregraft, per sq cm | Description: Caregraft, per square centimeter |
| Q4323 | Alloply, per sq cm | Description: Alloply, per square centimeter |
| Q4324 | Amniotx, per sq cm | Description: Amniotx, per square centimeter |
| Q4325 | Acapatch, per sq cm | Description: Acapatch, per square centimeter |
| Q4326 | Woundplus, per sq cm | Description: Woundplus, per square centimeter |
| Q4327 | Duoamnion, per sq cm | Description: Duoamnion, per square centimeter |
| Q4328 | Most, per sq cm | Description: Most, per square centimeter |
| Q4329 | Singlay, per sq cm | Description: Singlay, per square centimeter |
| Q4330 | Total, per sq cm | Description: Total, per square centimeter |
| Q4331 | Axolotl graft, per sq cm | Description: Axolotl graft, per square centimeter |
| Q4332 | Axolotl dualgraft, per sq cm | Description: Axolotl dualgraft, per square centimeter |
| Q4333 | Ardeograft, per sq cm | Description: Ardeograft, per square centimeter |
| Q4334 | Amnioplast 1, per sq cm | Description: Amnioplast 1, per square centimeter |
| Q4335 | Amnioplast 2, per sq cm | Description: Amnioplast 2, per square centimeter |
| Q4336 | Artecent c, per sq cm | Description: Artacent c, per square centimeter |
| Q4337 | Artecent trident, per sq cm | Description: Artacent trident, per square centimeter |
| Q4338 | Artacent velos, per sq cm | Description: Artacent velos, per square centimeter |
| Q4339 | Artacent vericlen, per sq cm | Description: Artacent vericlen, per square centimeter |
| Q4340 | Simpligraft, per sq cm | Description: Simpligraft, per square centimeter |
| Q4341 | Simplimax, per sq cm | Description: Simplimax, per square centimeter |
| Q4342 | Theramend, per sq cm | Description: Theramend, per square centimeter |
| Q4343 | Dermacyte ac matrx per sq cm | Description: Dermacyte ac matrix amniotic membrane allograft, per square centimeter |
| Q4344 | Tri membrane wrap, per sq cm | Description: Tri-membrane wrap, per square centimeter |
| Q4345 | Matrix hd allogrft per sq cm | Description: Matrix hd allograft dermis, per square centimeter |
| Q4346 | Shelter dm matrix per sq cm | Description: Shelter dm matrix, per square centimeter |
| Q4347 | Rampart dl matrix per sq cm | Description: Rampart dl matrix, per square centimeter |
| Q4348 | Sentry sl matrix per sq cm | Description: Sentry sl matrix, per square centimeter |
| Q4349 | Mantle dl matrix per sq cm | Description: Mantle dl matrix, per square centimeter |
| Q4350 | Palisade dm matrix per sq cm | Description: Palisade dm matrix, per square centimeter |
| Q4351 | Enclose tl matrix, per sq cm | Description: Enclose tl matrix, per square centimeter |
| Q4352 | Overlay sl matrix, per sq cm | Description: Overlay sl matrix, per square centimeter |
| Q4353 | Xceed tl matrix per sq cm | Description: Xceed tl matrix, per square centimeter |
| Q4354 | Palingen dual-layer sq cm | Description: Palingen dual-layer membrane, per square centimeter |
| Q4355 | Abio xpl abio xpl hy p sq cm | Description: Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter |
| Q4356 | Abio mem abio hyd per sq cm | Description: Abiomend membrane and abiomend hydromembrane, per square centimeter |
| Q4357 | Xwrap plus, per sq cm | Description: Xwrap plus, per square centimeter |
| Q4358 | Xwrap dual, per sq cm | Description: Xwrap dual, per square centimeter |
| Q4359 | Choriply, per sq cm | Description: Choriply, per square centimeter |
| Q4360 | Amchoplast fd per sq cm | Description: Amchoplast fd, per square centimeter |
| Q4361 | Epixpress, per sq cm | Description: Epixpress, per square centimeter |
| Q4362 | Cygnus disk, per sq cm | Description: Cygnus disk, per square centimeter |
| Q4363 | Am bur mem hydro per sq cm | Description: Amnio burgeon membrane and hydromembrane, per square centimeter |
| Q4364 | Am bur xp mem xpl hy p sq cm | Description: Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter |
| Q4365 | Amnio bur dl mem per sq cm | Description: Amnio burgeon dual-layer membrane, per square centimeter |
| Q4366 | Dl amnio bur x-mem per sq cm | Description: Dual layer amnio burgeon x-membrane, per square centimeter |
| Q4367 | Amniocore sl, per sq cm | Description: Amniocore sl, per square centimeter |
| Q4368 | Amchothick per sq cm | Description: Amchothick, per square centimeter |
| Q4369 | Amnioplast 3 per sq cm | Description: Amnioplast 3, per square centimeter |
| Q4370 | Aeroguard per sq cm | Description: Aeroguard, per square centimeter |
| Q4371 | Neoguard per sq cm | Description: Neoguard, per square centimeter |
| Q4372 | Amchoplast excl per sq cm | Description: Amchoplast excel, per square centimeter |
| Q4373 | Membrane wrp lt per sq cm | Description: Membrane wrap lite, per square centimeter |
| Q4375 | Duograft ac per sq cm | Description: Duograft ac, per square centimeter |
| Q4376 | Duograft aa per sq cm | Description: Duograft aa, per square centimeter |
| Q4377 | Trigraft ft per sq cm | Description: Trigraft ft, per square centimeter |
| Q4378 | Renew ft matrix per sq cm | Description: Renew ft matrix, per square centimeter |
| Q4379 | Amniodefend ft per sq cm | Description: Amniodefend ft matrix, per square centimeter |
| Q4380 | Advograft one per sq cm | Description: Advograft one, per square centimeter |
| Q4382 | Advograft dual per sq cm | Description: Advograft dual, per square centimeter |