The 2009 Healthcare Common Procedure Coding System (HCPCS) code Annual Update includes a new code series, Q4100 through Q4114, effective January 1, 2009, to identify skin substitute products. The Local Coverage Determination (LCD), Skin Substitutes for Wound Healing, was retired on January 1, 2009. Effective for dates of service on or after January 1, 2009, please use the following codes and descriptions.
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HCPCS Code
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Description
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Q4100
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Skin substitute, not otherwise specified
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Q4101
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Skin substitute, Apligraf, per square centimeter
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Q4102
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Skin substitute, Oasis wound matrix, per square centimeter
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Q4103
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Skin substitute, Oasis burn matrix, per square centimeter
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Q4104
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Skin substitute, Integra bilayer matrix wound dressing (BMWD), per square centimeter
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Q4105
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Skin substitute, Integra dermal regeneration template (DRT), per square centimeter
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Q4106
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Skin substitute, Dermagraft, per square centimeter
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Q4107
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Skin substitute, Graftjacket, per square centimeter
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Q4108
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Skin substitute, Integra matrix, per square centimeter
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Q4109
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Skin substitute, Tissuemend, per square centimeter
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Q4110
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Skin substitute, Primatrix, per square centimeter
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Q4111
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Skin substitute, Gammagraft, per square centimeter
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Q4112
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Allograft, Cymetra, injectable, 1cc
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Q4113
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Allograft, Graftjacket express, injectable, 1cc
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Q4114
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Allograft, Integra flowable wound matrix, injectable, 1cc
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The HCPCS codes J7340 through J7350 and C9357 were discontinued on December 31, 2008.
Effective January 1, 2009, HCPCS codes Q4100 through Q4114 require one of the following HCPCS Modifiers.
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HCPCS Modifier
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Description
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JC
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Skin substitute used as a graft
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JD
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Skin substitute not used as a graft
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