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Q4124 - Oasis tri-layer wound matrix

Navigation: HCPCS Codes > Codes with Prefix: Q4
Field Value
HCPCS Code: Q4124
Long Description: Oasis ultra tri-layer wound matrix, per square centimeter
Short Description: Oasis tri-layer wound matrix
Pricing Indicator 1: 51 (Drugs)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: O1E (Other drugs)
Type of Service Code 1: 1 (Medical care)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2012
Action Effective Date: 01-01-2014
Action Code: P (Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers))