2025 HCPCS Code Q4105

Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter

TAGS: template dermal square regeneration centimeter integra omnigraft
Short DescriptionIntegra drt or omnigraft
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code C - Carrier judgment
HCPCS Code Added Date January 01, 2009
HCPCS Action Effective Date January 01, 2017
HCPCS Pricing Indicator Code 51 - Drugs
HCPCS Type Of Service Code 1 - Medical care
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number

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