Description
Skin substitute used as a graft.

HCPCS Codes
Q4100–Q4199

Guidelines/Instructions
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.

Contact Palmetto GBA JJ Part B Medicare

Provider Contact Center: 877-567-7271

Email JJ Part B

Contact a specific JJ Part B department


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