HCPCS Modifier JC

Description:
Skin substitute used as a graft

HCPCS Codes:
A4100-Q4165

Guidelines/Instructions:
This modifier is effective for dates of service on or after January 1, 2009. 
This modifier can be appended to indicate the skin substitute was used as a graft. No special coverage requirements apply. Supporting documentation should be maintained in the medical record.

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Provider Contact Center: 888-355-9165

IVR: 877-288-7600

TTY: 877-715-6397

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