HCPCS Codes for Medical care


  • Q4124

    Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4125

    Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4126

    Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4127

    Talymed, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4128

    Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4129

    Unite biomatrix, per square centimeter
  • Q4130

    Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4131

    Epifix or epicord, per square centimeter
  • Q4132

    Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4133

    Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4134

    Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4135

    Mediskin, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4136

    Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4137

    Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4138

    Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4139

    Amniomatrix or biodmatrix, injectable, 1 cc
  • Q4140

    Biodfence, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4141

    Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4142

    Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4143

    Repriza, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4145

    Epifix, injectable, 1 mg
  • Q4146

    Tensix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4147

    Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4148

    Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4149

    Excellagen, 0.1 cc
  • Q4150

    Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4151

    Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4152

    Dermapure, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4153

    Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4154

    Biovance, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4155

    Neoxflo or clarixflo, 1 mg
  • Q4156

    Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4157

    Revitalon, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4158

    Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4159

    Affinity, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4160

    Nushield, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4161

    Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4162

    Woundex flow, bioskin flow, 0.5 cc
  • Q4163

    Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4164

    Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4165

    Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4166

    Cytal, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4167

    Truskin, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4168

    Amnioband, 1 mg
  • Q4169

    Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4170

    Cygnus, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4171

    Interfyl, 1 mg
  • Q4172

    Puraply or puraply am, per square centimeter
  • Q4173

    Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)
  • Q4174

    Palingen or promatrx, 0.36 mg per 0.25 cc