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2025 HCPCS code Q4304

Grafix Plus, per square centimeter.

Medical necessity for Grafix Plus must be established based on the wound's characteristics and the patient's condition. Documentation must support the use of this particular skin substitute over other available options.

In simple words: This code covers the cost of Grafix Plus, a special wound dressing made from placental tissue. It's applied to different types of wounds, and the cost is calculated per square centimeter used.

This code represents the supply of Grafix Plus, a wound covering made from the chorionic membrane of placental tissue. It is used in wound care for acute or chronic wounds and is reported for each square centimeter.

Example 1: A patient with a chronic diabetic ulcer measuring 5cm x 5cm receives Grafix Plus. The code Q4304 is reported 25 times., A patient with a burn wound covering 10 square centimeters receives Grafix Plus. The code Q4304 is reported 10 times., A patient with an acute surgical wound of 2cm x 3cm receives Grafix Plus as a preventative measure against infection. The code Q4304 is reported 6 times.

Documentation should include the size of the wound in square centimeters, the type of wound, and the medical necessity for the use of Grafix Plus.

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