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ALL MEDICAL CODES IN CATEGORY Skin Substitutes and Biologicals

2025 HCPCS code Q4208

Novafix, per square centimeter.

2025 HCPCS code Q4210

Axolotl graft or dualgraft, per square centimeter.

2025 HCPCS code Q4211

Amnion bio or Axobiomembrane, per square centimeter.

2025 HCPCS code Q4213

Ascent, 0.5 mg; human amniotic fluid allograft.

2025 HCPCS code Q4132

Grafix Core® and Grafix PL Core®, per square centimeter. Tissue matrix extracted from human placenta that aids in healing of deep wounds and ulcers.

2025 HCPCS code Q4136

EZ Derm, per square centimeter; a porcine xenograft used for wound care.

2025 HCPCS code Q4140

Allograft of amniotic membrane, per square centimeter.

2025 HCPCS code Q4255

Placental membrane graft, Reguard, per square centimeter, for topical wound treatment.

2025 HCPCS code Q4260

Signature APatch, per square centimeter.

2025 HCPCS code Q4167

TruSkin™ cryopreserved human skin allograft (per square centimeter)

2025 HCPCS code Q4168

AmnioBand™, 1 mg: Lyophilized placental matrix allograft used as a wound care scaffold or for replacing damaged integumental tissue.

2025 HCPCS code Q4169

Artacent Wound™ per square centimeter, a dual-layer human amniotic membrane graft for acute and chronic wounds.

2025 HCPCS code Q4192

Restorigin™ amniotic fluid therapy (AFT), 1 cc.

2025 HCPCS code Q4193

Human-derived dermal allograft, Coll-e-Derm™, per square centimeter.

2025 HCPCS code Q4194

Novachor™, a chorionic membrane allograft, used for repair and to promote healing of injured tissues. Reported per square centimeter of Novachor™ used.

2025 HCPCS code Q4198

Genesis amniotic membrane, per square centimeter.

2025 HCPCS code Q4104

Integra bilayer matrix wound dressing (BMWD), per square centimeter.

2025 HCPCS code Q4107

GraftJacket, per square centimeter

2025 HCPCS code Q4175

Miroderm, per sq cm.

2025 HCPCS code Q4106

Supply of Dermagraft, a cryopreserved human fibroblast-derived dermal substitute, per square centimeter.

2025 HCPCS code Q4196

This code represents 1 sq cm of PuraPly® AM, an antimicrobial wound matrix used for treating various wounds and ulcers.

2025 HCPCS code Q4257

Relese™, a human placental amniotic membrane skin substitute, billed per square centimeter for wound management.

2025 HCPCS code Q4101

Apligraf, a skin substitute, is billed per square centimeter for the treatment of diabetic foot and venous leg ulcers.

2025 HCPCS code Q4105

This HCPCS code represents 1 sq cm of Integra® dermal regeneration template or Integra Omnigraft® dermal regeneration matrix, used for skin regeneration.

2025 HCPCS code Q4216

Artacent™ cord, a dual-layer human amniotic membrane graft, per square centimeter.

2025 HCPCS code Q4209

Supply of 1 sq cm of Surgraft®, a human amniotic membrane allograft for wound healing.

2025 HCPCS code Q4251

Vim, per square centimeter; allograft derived from human amniotic membrane used in soft tissue repair.

2025 HCPCS code Q4124

This HCPCS code reports the supply of Oasis® Ultra Tri-Layer wound matrix, per square centimeter.

2025 HCPCS code Q4250

Supply of AmnioAMP-MPTM dehydrated human amniotic membrane allograft, per square centimeter.

2025 HCPCS code Q4202

Injection of 1 cc (2.5 g/cc) of Keroxx™, a keratin-enriched protein wound matrix, for chronic wound treatment.

2025 HCPCS code Q4230

This HCPCS code represents 0.5 cc of Cogenex flowable amnion allograft in saline solution, used for treating complex wounds.

2025 HCPCS code Q4252

Vendaje, per square centimeter; an amniotic membrane allograft used for wound care, burn care, scar reduction, and adhesion barrier.

2025 HCPCS code Q4155

Supply of 1 mg of NeoxFlo or ClarixFlo, sterile human placental tissue.

2025 HCPCS code Q4178

Floweramniopatch, a dehydrated amniotic membrane allograft, is billed per square centimeter for wound coverage.

2025 HCPCS code Q4247

Amniotext patch, per square centimeter.

2025 HCPCS code Q4215

Axolotl Ambient or Axolotl Cryo, a human amniotic allograft (0.1 mg per unit), used for tissue regeneration and wound healing.

2025 HCPCS code Q4108

Integra matrix, per square centimeter; a skin replacement used as a graft to treat chronic ulcers and wounds.

2025 HCPCS code Q4278

Epieffect, a lyophilized human amniotic membrane allograft, is billed per square centimeter for wound management.

2025 HCPCS code Q4219

Surgigraft dual-layer allograft, per square centimeter.

2025 HCPCS code Q4269

SurGraft XT, per square centimeter: A dehydrated human amniotic membrane allograft used in wound management.

2025 HCPCS code Q4177

HCPCS code Q4177 represents the supply of 0.1 cc of Floweramnioflo, a placental tissue allograft used for skin replacement or covering damaged tissue.

2025 HCPCS code Q4248

Dermacyte amniotic membrane allograft, per square centimeter, used for treating noninfected partial-thickness skin ulcers.

2025 HCPCS code Q4195

PuraPly, per square centimeter; a purified native collagen matrix for managing partial and full-thickness wounds.

2025 HCPCS code Q4292

Lamellas, per square centimeter; a wound covering made from placental tissue used in wound care.

2025 HCPCS code Q4280

Supply of Xcell Amnio Matrix®, a lyophilized amniotic membrane allograft, per square centimeter for wound management.

2025 HCPCS code Q4306

American Amnion AC, per square centimeter; a placental tissue wound covering.

2025 HCPCS code Q4295

Amniotic membrane allograft, per square centimeter.

2025 HCPCS code Q4187

EpiCord®, per square centimeter: Dehydrated human umbilical cord allograft for wound healing and tissue regeneration.

2025 HCPCS code Q4265

This HCPCS code represents the supply of NeoStim TL, a dehydrated human amniotic membrane allograft, billed per square centimeter used for wound management.

2025 HCPCS code Q4307

American Amnion, per square centimeter; a placental tissue wound covering.

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