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ALL MEDICAL CODES IN CATEGORY Skin Substitutes and Biologicals

2025 HCPCS code Q4294

Amnio Quad-Core, a four-layer amniotic membrane allograft, per square centimeter.

2025 HCPCS code Q4297

Emerge™ Matrix, 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 Q4206

Fluid Flow or Fluid GF, 1 cc. Flowable allografts derived from human amniotic fluid that aid in tissue regeneration and healing of wounds.

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 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 Q4126

Memoderm, DermaSpan, TranZgraft, or InteguPly, per square centimeter. These are matrices composed of human skin, used to repair soft tissues.

2025 HCPCS code Q4175

Miroderm, per sq cm.

2025 HCPCS code Q4289

RevoShield + Amniotic Barrier, per square centimeter for wound care.

2025 HCPCS code Q4151

Supply of AmnioBand® or Guardian®, placental membrane allografts, per square centimeter.

2025 HCPCS code Q4288

DermaBind CH™, per square centimeter; a placental chorion-derived wound covering.

2025 HCPCS code Q4162

WoundEx Flow and BioSkin Flow, 0.5 cc; skin substitute derived from human placental tissue matrix.

2025 HCPCS code Q4272

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

2025 HCPCS code Q4122

This HCPCS code represents the supply of 1 square centimeter of DermACELL, DermACELL AWM, or DermACELL AWM Porous, an acellular human skin allograft used for wound healing.

2025 HCPCS code Q4231

Corplex® P, per cc:A human umbilical cord allograft used topically for wound coverage.

2025 HCPCS code Q4227

This code represents the supply of each square centimeter of AmnioCore™, an amniotic membrane allograft used for wound healing.

2025 HCPCS code Q4287

DermaBind DL, per square centimeter; a placental membrane wound covering.

2025 HCPCS code Q4113

Supply of Graftjacket® Xpress (1 cc injection) for tissue regeneration in chronic non-healing wounds.

2025 HCPCS code Q4182

This HCPCS code represents each square centimeter of Transcyte®, a cryopreserved skin substitute used to treat severe burns.

2025 HCPCS code Q4157

Supply of Revitalon®, an amniotic membrane allograft, in units of one square centimeter.

2025 HCPCS code Q4266

Neostim membrane, per square centimeter; a dehydrated human amniotic membrane allograft used in wound management.

2025 HCPCS code Q4241

Polycyte, a human umbilical cord allograft, for topical use; priced per 0.5 cc.

2025 HCPCS code Q4201

Matrion™, decellularized dermal allograft, per square centimeter, for chronic wound repair.

2025 HCPCS code Q4222

Progenamatrix, an allograft of human keratic proteins, per square centimeter, used for wound and burn healing.

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