2025 HCPCS Code Q4191

Restorigin, per square centimeter

TAGS: centimeter square

Short Description	Restorigin 1 sq cm
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	C - Carrier judgment
HCPCS Code Added Date	January 01, 2019
HCPCS Action Effective Date	January 01, 2019
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

Check Similar HCPCS Codes

• Q4369 - Amnioplast 3 per sq cm
• Q4370 - Aeroguard per sq cm
• Q4371 - Neoguard per sq cm
• Q4372 - Amchoplast excl per sq cm
• Q4373 - Membrane wrp lt per sq cm
• Q4375 - Duograft ac per sq cm
• Q4376 - Duograft aa per sq cm
• Q4377 - Trigraft ft per sq cm
• Q4378 - Renew ft matrix per sq cm
• Q4379 - Amniodefend ft per sq cm
• Q4380 - Advograft one per sq cm
• Q4382 - Advograft dual per sq cm
• Q4383 - Axolotl graft ult per sq cm
• Q4384 - Axolotl dual ult per sq cm
• Q4385 - Apollo ft per sq cm
• Q4386 - Acesso trifaca per sq cm
• Q4387 - Neothelium ft per sq cm
• Q4388 - Neothelium 4l per sq cm
• Q4389 - Neothelium 4l+ per sq cm
• Q4390 - Ascendion per sq cm