|
J0654
|
Inj, liothyronine, 1 mcg |
|
A2001
|
Innovamatrix ac, per sq cm |
|
A2002
|
Mirragen adv wnd mat per sq |
|
A2005
|
Microlyte matrix, per sq cm |
|
A2006
|
Novosorb synpath per sq cm |
|
A2007
|
Restrata, per sq cm |
|
Q4149
|
Excellagen, 0.1 cc |
|
Q4181
|
Amnio wound, per square cm |
|
Q4322
|
Caregraft, per sq cm |
|
A2008
|
Theragenesis, per sq cm |
|
A2009
|
Symphony, per sq cm |
|
A2010
|
Apis, per square centimeter |
|
A2011
|
Supra sdrm, per sq cm |
|
A2012
|
Suprathel, per sq cm |
|
A2013
|
Innovamatrix fs, per sq cm |
|
A2015
|
Phoenix wnd mtrx, per sq cm |
|
A2016
|
Permeaderm b, per sq cm |
|
A2018
|
Permeaderm c, per sq cm |
|
A2019
|
Kerecis marigen shld sq cm |
|
A2021
|
Neomatrix per sq cm |
|
A2022
|
Innovabrn/innovamatx xl sqcm |
|
A2024
|
Resolve or xenopatch sq cm |
|
A2025
|
Miro3d per cubic cm |
|
A2027
|
Matriderm per sq cm |
|
A2029
|
Mirotract matrix sheet |
|
A2031
|
Mirodry, per sq cm |
|
A2032
|
Myriad matrix, per sq cm |
|
A2034
|
Found drs solo, per sq cm |
|
A2036
|
Cohealyx col dml mx pr sq cm |
|
A2038
|
Marigen pacto, per sq cm |
|
A2039
|
Innovamatrix fd, per sq cm |
|
A4100
|
Nosht skin sub fda clrd nos |
|
A4295
|
Straigh tip hydrophilic cath |
|
A4296
|
Coude tip hydrophilic cath |
|
A4297
|
Hydrophilic coat insert sup |
|
A4351
|
Straight tip urine catheter |
|
A4352
|
Coude tip urinary catheter |
|
A9507
|
In111 capromab |
|
A9508
|
I131 iodobenguate, dx |
|
A9532
|
I125 serum albumin, dx |
|
A9553
|
Cr51 chromate |
|
A9554
|
I125 iothalamate, dx |
|
C1607
|
Neurostim integ rechg |
|
C1608
|
Prosthesis, dual mob cmc1 |
|
C1741
|
Anchor/screw bone absorb |
|
C5271
|
Low cost skin substitute app |
|
C5272
|
Low cost skin substitute app |
|
C5273
|
Low cost skin substitute app |
|
C5274
|
Low cost skin substitute app |
|
C5275
|
Low cost skin substitute app |
|
C5276
|
Low cost skin substitute app |
|
C5277
|
Low cost skin substitute app |
|
C5278
|
Low cost skin substitute app |
|
C7566
|
Fuse finger joints w/grafts |
|
C7567
|
Bronch/needle bx(s) w/ nav |
|
C7568
|
Cor angio w/flow resrv |
|
C7569
|
Ptca w/ ivus or oct |
|
C7570
|
Cor angio w/ffr & 3d map |
|
C7571
|
Pcta w/ cor lithotrip |
|
C8007
|
Opn mplnt hpgls ns ary ps gn |
|
C8008
|
Rv/rpl hpgls ns inc cnt pg |
|
C8009
|
Rmv hpgls ns ary and pg |
|
C8011
|
Opn mplnt hpgls ns ary rec |
|
C8012
|
Rv/rpl hpgls ns ary rec |
|
C8013
|
Rmv hpls ns ary rec |
|
C8925
|
2d tee w or w/o fol w/con,in |
|
C8926
|
Tee w or w/o fol w/cont,cong |
|
C8927
|
Tee w or w/o fol w/cont, mon |
|
C9089
|
Bupivacaine implant, 1 mg |
|
C9144
|
Inj, bupivacaine (posimir) |
|
C9176
|
Dom nonheu tc99m add-on/dose |
|
C9305
|
Inj, nipocalimab-aahu, 3 mg |
|
C9306
|
Telisotuzumab vedotin-tllv |
|
C9363
|
Integra meshed bil wound mat |
|
C9602
|
Perc d-e cor stent ather s |
|
C9604
|
Perc d-e cor revasc t cabg s |
|
C9607
|
Perc d-e cor revasc chro sin |
|
C9751
|
Microwave bronch, 3d, ebus |
|
C9760
|
Non-blind interatrial shunt |
|
C9779
|
Esd endoscopy or colonoscopy |
|
C9780
|
Insert cv cath inf & sup app |
|
C9782
|
Blind myocar trpl bon marrow |
|
C9783
|
Blind cor sinus reducer impl |
|
C9784
|
Endo sleeve gastro w/tube |
|
C9785
|
Endo outlet restrict w/tube |
|
C9792
|
Blind/nonblind trans atrial |
|
C9810
|
Cold therapy non-opioid dev |
|
C9811
|
Elec amb pmp nonopioid dev |
|
C9812
|
Echgnc nv ndls nonopioid dev |
|
C9813
|
Prf infs cth nonopioid dev |
|
C9814
|
Echognc cathr nonopioid dev |
|
C9815
|
Peristlc pmp nonopioid dev |
|
C9816
|
Pmp prs reusbl nonopioid dev |
|
C9817
|
Crypnm cmprs nonopioid dev |
|
C9818
|
Suzetrigine, orl, 1mg |
|
C9901
|
Endo defect closure gi tract |
|
G0071
|
Comm svcs by rhc/fqhc 5 min |
|
G0136
|
Adm of pa/n assess 5-15 m |
|
G0412
|
Open tx iliac spine uni/bil |
|
G0413
|
Pelvic ring fracture uni/bil |
|
G0414
|
Pelvic ring fx treat int fix |
|
G0415
|
Open tx post pelvic fxcture |
|
G0438
|
Ppps, initial visit |
|
G0511
|
Ccm/bhi by rhc/fqhc 20min mo |
|
G0512
|
Cocm by rhc/fqhc 60 min mo |
|
G0568
|
Int psych care mng, 1 cal mo |
|
G0569
|
Subs psych care mng, subs mo |
|
G0570
|
Care manage serv, pr cal mo |
|
G0571
|
Intraop nerve cryoablation |
|
G0660
|
Team remote e/m new pt 10 mn |
|
G0661
|
Team remote e/m new pt 20 mn |
|
G0662
|
Team remote e/m new pt 30 mn |
|
G0663
|
Team remote e/m new pt 45 mn |
|
G0664
|
Team remote e/m new pt 60 mn |
|
G0665
|
Team remote e/m est pt 10 mn |
|
G0666
|
Team remote e/m est pt 15 mn |
|
G0667
|
Team remote e/m est pt 25 mn |
|
G0668
|
Team remote e/m est pt 40 mn |
|
G2076
|
Intake act w/med exam |
|
G2077
|
Periodic assessment |
|
G2211
|
Complex e/m visit add on |
|
G6001
|
Echo guidance radiotherapy |
|
G6002
|
Stereoscopic x-ray guidance |
|
G6003
|
Radiation treatment delivery |
|
G6004
|
Radiation treatment delivery |
|
G6005
|
Radiation treatment delivery |
|
G6006
|
Radiation treatment delivery |
|
G6007
|
Radiation treatment delivery |
|
G6008
|
Radiation treatment delivery |
|
G6009
|
Radiation treatment delivery |
|
G6010
|
Radiation treatment delivery |
|
G6011
|
Radiation treatment delivery |
|
G6012
|
Radiation treatment delivery |
|
G6013
|
Radiation treatment delivery |
|
G6014
|
Radiation treatment delivery |
|
G6015
|
Radiation tx delivery imrt |
|
G6016
|
Delivery comp imrt |
|
G6017
|
Intrafraction track motion |
|
G8430
|
Doc med rsn no medrec |
|
G9414
|
1dose menig vac btwn 10 & 13 |
|
G9415
|
No 1dose meni vac btwn 10&13 |
|
Q4246
|
Coretext or protext, per cc |
|
G9604
|
Pt surv results not avail |
|
G9788
|
Most rct bp </= 130/80 |
|
G9790
|
Most rct bp >/= 130/80 |
|
G9796
|
Pt currently on statin |
|
G9797
|
Pt not currently on statin |
|
G9832
|
Br ca stg = 1 t stg = t1c |
|
G9871
|
Bhv couns dm prev, onln 60 m |
|
J0013
|
Esketamine, nasal spray |
|
J0162
|
Inj epinephrine (fresenius) |
|
J0172
|
Inj, aducanumab-avwa, 2 mg |
|
J0190
|
Inj biperiden lactate/5 mg |
|
J0200
|
Alatrofloxacin mesylate |
|
J0205
|
Alglucerase injection |
|
J0209
|
Inj, sod thiosulfate (hope) |
|
J0215
|
Alefacept |
|
J0248
|
Inj, remdesivir, 1 mg |
|
J0288
|
Ampho b cholesteryl sulfate |
|
J0350
|
Injection anistreplase 30 u |
|
J0365
|
Aprotonin, 10,000 kiu |
|
J0380
|
Inj metaraminol bitartrate |
|
J0395
|
Arbutamine hcl injection |
|
J0710
|
Cephapirin sodium injection |
|
J0715
|
Ceftizoxime sodium / 500 mg |
|
J0720
|
Chloramphenicol sodium injec |
|
J0759
|
Inj, clevidipine, 1 mg |
|
J0795
|
Corticorelin ovine triflutal |
|
J0889
|
Daprodustat oral 1mg esrd |
|
J1073
|
Testosterone pellet 75 mg |
|
J1267
|
Doripenem injection |
|
J1330
|
Ergonovine maleate injection |
|
J1443
|
Inj ferric pyrophosphate cit |
|
J1444
|
Fe pyro cit pow 0.1 mg iron |
|
J1445
|
Inj triferic avnu 0.1mg iron |
|
J1452
|
Intraocular fomivirsen na |
|
J1457
|
Gallium nitrate injection |
|
J1562
|
Vivaglobin, inj |
|
J1620
|
Gonadorelin hydroch/ 100 mcg |
|
J1655
|
Tinzaparin sodium injection |
|
J1710
|
Hydrocortisone sodium ph inj |
|
J1736
|
Inj meloxicam (delova) 1mg |
|
J1737
|
Inj meloxicam (azurity) 1mg |
|
J1837
|
Inj, posaconazole, 1 mg |
|
J1945
|
Lepirudin |
|
J2504
|
Pegademase bovine, 25 iu |
|
J2513
|
Pentastarch 10% solution |
|
J2515
|
Pentobarbital sodium inj |
|
J2516
|
Inj, pentamidine isethionate |
|
J2596
|
Vasopressin (long grove) 1 u |
|
J2711
|
Inj neostigmin/glycopyrrolat |
|
J2910
|
Aurothioglucose injeciton |
|
J2940
|
Somatrem injection |
|
J2995
|
Inj streptokinase /250000 iu |
|
J3280
|
Thiethylperazine maleate inj |
|
J3291
|
Tranexamic acid in sod chlor |
|
J3305
|
Inj trimetrexate glucoronate |
|
J3310
|
Perphenazine injeciton |
|
J3320
|
Spectinomycn di-hcl inj |
|
J3355
|
Urofollitropin, 75 iu |
|
J3364
|
Urokinase 5000 iu injection |
|
J3365
|
Urokinase 250,000 iu inj |
|
J3376
|
Inj vancomycin (hikma) 10mg |
|
J3379
|
Inj, valproate sod, 5 mg |
|
J3387
|
Inj elivaldogene autotemecel |
|
J3389
|
Topi adm prad zami per treat |
|
J3400
|
Triflupromazine hcl inj |
|
J3485
|
Zidovudine |
|
J7191
|
Factor viii (porcine) |
|
J7299
|
Intraut copp cont (miudella) |
|
J7309
|
Methyl aminolevulinate, top |
|
J7310
|
Ganciclovir long act implant |
|
J7322
|
Hyaluronan, hymo or hymo one |
|
J7513
|
Daclizumab, parenteral |
|
J7528
|
Mycophen mofetil for susp |
|
J8562
|
Oral fludarabine phosphate |
|
J8650
|
Nabilone oral |
|
J9019
|
Erwinaze injection |
|
J9020
|
Asparaginase, nos |
|
J9030
|
Bcg live intravesical 1mg |
|
J9098
|
Cytarabine liposome inj |
|
J9151
|
Daunorubicin citrate inj |
|
J9165
|
Diethylstilbestrol injection |
|
J9184
|
Inj gemcitabin (avyxa) 200mg |
|
J9212
|
Interferon alfacon-1 inj |
|
J9256
|
Inj, nipocalimab-aahu, 3 mg |
|
J9270
|
Plicamycin (mithramycin) inj |
|
J9282
|
Mitomycin intravesical inst |
|
J9326
|
Telisotuzumab vedotin-tllv |
|
M0010
|
Eom meos payment |
|
M1174
|
Pt w/ 2 hzv 10/2017 - mp |
|
M1176
|
No 2 hzv 10/2017-meas pd |
|
M1426
|
Telehealth enc |
|
M1427
|
Doc med rsn bone scn |
|
M1428
|
Bilateral absence of eyes |
|
M1429
|
Retinopathy in od, os, ou |
|
M1430
|
Ret exm ou no retinopthy doc |
|
M1431
|
Telehealth enc |
|
M1432
|
Telehealth enc |
|
M1433
|
Oral chemo wthn 30 days enc |
|
M1434
|
Orl chemo wthn 30 d post enc |
|
M1435
|
Oral chemo in perf pd |
|
M1436
|
Telehealth enc |
|
M1437
|
Telehealth enc |
|
M1438
|
Lst knwn well <=210 min |
|
M1439
|
Sig ocu cond imp surg out |
|
M1440
|
Telehealth enc |
|
M1441
|
Init dx slp apn = 1st enc |
|
M1442
|
Telehealth enc |
|
M1443
|
Telehealth enc |
|
M1444
|
Del < 39 weeks gest |
|
M1445
|
Pp care visit by 12 weeks |
|
M1446
|
Pt died bef end meas pd |
|
M1447
|
Pt dx bd bef end meas pd |
|
M1448
|
Pt dx pd bef end meas pd |
|
M1449
|
Pt dx scz/pys bef end msr pd |
|
M1450
|
Pt hos/pal care dur id/pf pd |
|
M1451
|
Pt dx ppd dur id/pf pd |
|
M1452
|
Pt dx dementia ever |
|
M1453
|
Preop vis acu > 20/40 |
|
M1454
|
New cied |
|
M1456
|
Pt had htx |
|
M1457
|
Dx asth dur crnt/prv perf pd |
|
M1458
|
Pt died bef end meas pd |
|
M1459
|
Pt hosp/pal care dur perf pd |
|
M1460
|
Dx copd, cf, or arf |
|
M1461
|
Pt dx chron hepc |
|
M1462
|
Pt clin ind hd image |
|
M1463
|
2 f/u wthn 180 day rx atmp |
|
M1464
|
No record of f/u by 180 days |
|
M1465
|
F/u > 180 days after rx |
|
M1466
|
Pt disc/lam proc same day |
|
M1467
|
Pt dx lynch syn |
|
M1468
|
Hep b vaccine received |
|
M1469
|
Hx of hep b, or pos bld test |
|
M1470
|
Hep b vac not rec'd med rsn |
|
M1471
|
Ffs hep b not covered |
|
M1472
|
Hep b vaccine not received |
|
M1473
|
Pt func cap not allow impr |
|
M1474
|
Pt dx dementia |
|
M1475
|
Pt dx huntington |
|
M1476
|
Pt dx cog imp or ad |
|
M1477
|
Dx delirium |
|
M1478
|
Psychoactive sub abuse |
|
M1479
|
Pt func cap not allow impr |
|
M1480
|
Pt func cap not allow impr |
|
M1481
|
Pt in hosp/pal care who died |
|
M1482
|
Pos quan hep c or qual rna |
|
M1483
|
Neg quan hep c or qual rna |
|
M1484
|
No rpt hcv rna perf med rsn |
|
M1485
|
Neg viro resp hep c/qual rna |
|
M1486
|
Pt admitted to snf dur eval |
|
M1487
|
Pt adm to hospice dur eval |
|
M1488
|
Dx dementia in msr timeframe |
|
M1490
|
Pt status not doc |
|
M1491
|
Rec'd esrd mcp dur perf pd |
|
M1492
|
No reported fall |
|
M1493
|
No fall doc med rsn |
|
M1494
|
Fall rep since last visit |
|
M1495
|
Fall w/ poc, no fall |
|
M1496
|
No doc of fall or poc |
|
M1497
|
No doc fall med rsn |
|
M1498
|
Diagnostic radiology mvp |
|
M1499
|
Interventional radiology mvp |
|
M1500
|
Neuropsychology mvp |
|
M1501
|
Pathology mvp |
|
M1502
|
Podiatry mvp |
|
M1503
|
Vascular surgery mvp |
|
Q0174
|
Thiethylperazine maleate10mg |
|
Q2017
|
Teniposide, 50 mg |
|
Q2057
|
Afamitresgene autoleucel |
|
Q2058
|
Obecbtge autol up to 400 mil |
|
Q4100
|
Skin substitute, nos |
|
Q4101
|
Apligraf |
|
Q4102
|
Oasis wound matrix |
|
Q4103
|
Oasis burn matrix |
|
Q4104
|
Integra bmwd |
|
Q4105
|
Integra drt or omnigraft |
|
Q4106
|
Dermagraft |
|
Q4107
|
Graftjacket |
|
Q4108
|
Integra matrix |
|
Q4110
|
Primatrix |
|
Q4111
|
Gammagraft |
|
Q4112
|
Cymetra injectable |
|
Q4113
|
Graftjacket xpress |
|
Q4114
|
Integra flowable wound matri |
|
Q4115
|
Alloskin |
|
Q4116
|
Alloderm |
|
Q4117
|
Hyalomatrix |
|
Q4118
|
Matristem micromatrix |
|
Q4121
|
Theraskin |
|
Q4122
|
Dermacell, awm, porous sq cm |
|
Q4123
|
Alloskin |
|
Q4124
|
Oasis tri-layer wound matrix |
|
Q4125
|
Arthroflex |
|
Q4126
|
Memoderm/derma/tranz/integup |
|
Q4127
|
Talymed |
|
Q4128
|
Flexhd/allopatchhd/sq cm |
|
Q4130
|
Strattice tm |
|
Q4132
|
Grafix core, grafixpl core |
|
Q4133
|
Grafix stravix prime pl sqcm |
|
Q4134
|
Hmatrix |
|
Q4135
|
Mediskin |
|
Q4136
|
Ezderm |
|
Q4137
|
Amnioexcel biodexcel 1sq cm |
|
Q4138
|
Biodfence dryflex, 1cm |
|
Q4139
|
Amnio or biodmatrix, inj 1cc |
|
Q4140
|
Biodfence 1cm |
|
Q4141
|
Alloskin ac, 1 cm |
|
Q4142
|
Xcm biologic tiss matrix 1cm |
|
Q4143
|
Repriza, 1cm |
|
Q4145
|
Epifix, inj, 1mg |
|
Q4146
|
Tensix, 1cm |
|
Q4147
|
Architect ecm px fx 1 sq cm |
|
Q4148
|
Neox neox rt or clarix cord |
|
Q4150
|
Allowrap ds or dry 1 sq cm |
|
Q4151
|
Amnioband, guardian 1 sq cm |
|
Q4152
|
Dermapure 1 square cm |
|
Q4153
|
Dermavest, plurivest sq cm |
|
Q4154
|
Biovance 1 square cm |
|
Q4155
|
Neoxflo or clarixflo 1 mg |
|
Q4156
|
Neox 100 or clarix 100 |
|
Q4157
|
Revitalon 1 square cm |
|
Q4158
|
Kerecis omega3, per sq cm |
|
Q4159
|
Affinity1 square cm |
|
Q4160
|
Nushield 1 square cm |
|
Q4161
|
Bio-connekt per square cm |
|
Q4162
|
Wndex flw, bioskn flw, 0.5cc |
|
Q4163
|
Woundex, bioskin, per sq cm |
|
Q4164
|
Helicoll, per square cm |
|
Q4165
|
Keramatrix, kerasorb sq cm |
|
Q4166
|
Cytal, per square centimeter |
|
Q4167
|
Truskin, per sq centimeter |
|
Q4168
|
Amnioband, 1 mg |
|
Q4169
|
Artacent wound, per sq cm |
|
Q4170
|
Cygnus, per sq cm |
|
Q4171
|
Interfyl, 1 mg |
|
Q4173
|
Palingen or palingen xplus |
|
Q4174
|
Palingen or promatrx |
|
Q4175
|
Miroderm |
|
Q4176
|
Neopatch or therion, 1 sq cm |
|
Q4177
|
Floweramnioflo, 0.1 cc |
|
Q4178
|
Floweramniopatch, per sq cm |
|
Q4179
|
Flowerderm, per sq cm |
|
Q4180
|
Revita, per sq cm |
|
Q4182
|
Transcyte, per sq centimeter |
|
Q4183
|
Surgigraft, 1 sq cm |
|
Q4184
|
Cellesta or duo per sq cm |
|
Q4185
|
Cellesta flowab amnion 0.5cc |
|
Q4186
|
Epifix 1 sq cm |
|
Q4187
|
Epicord 1 sq cm |
|
Q4188
|
Amnioarmor 1 sq cm |
|
Q4189
|
Artacent ac, 1 mg |
|
Q4190
|
Artacent ac 1 sq cm |
|
Q4191
|
Restorigin 1 sq cm |
|
Q4192
|
Restorigin, 1 cc |
|
Q4193
|
Coll-e-derm 1 sq cm |
|
Q4194
|
Novachor 1 sq cm |
|
Q4195
|
Puraply 1 sq cm |
|
Q4196
|
Puraply am 1 sq cm |
|
Q4197
|
Puraply xt 1 sq cm |
|
Q4198
|
Genesis amnio membrane 1sqcm |
|
Q4199
|
Cygnus matrix, per sq cm |
|
Q4200
|
Skin te 1 sq cm |
|
Q4201
|
Matrion 1 sq cm |
|
Q4202
|
Keroxx (2.5g/cc), 1cc |
|
Q4203
|
Derma-gide, 1 sq cm |
|
Q4204
|
Xwrap 1 sq cm |
|
Q4205
|
Membrane graft or wrap sq cm |
|
Q4206
|
Fluid flow or fluid gf 1 cc |
|
Q4208
|
Novafix per sq cm |
|
Q4209
|
Surgraft per sq cm |
|
Q4211
|
Amnion bio or axobio sq cm |
|
Q4212
|
Allogen, per cc |
|
Q4213
|
Ascent, 0.5 mg |
|
Q4214
|
Cellesta cord per sq cm |
|
Q4215
|
Axolotl ambient, cryo 0.1 mg |
|
Q4216
|
Artacent cord per sq cm |
|
Q4217
|
Woundfix biowound plus xplus |
|
Q4218
|
Surgicord per sq cm |
|
Q4219
|
Surgigraft dual per sq cm |
|
Q4220
|
Bellacell hd, surederm sq cm |
|
Q4221
|
Amniowrap2 per sq cm |
|
Q4222
|
Progenamatrix, per sq cm |
|
Q4224
|
Hhf10-p per sq cm |
|
Q4225
|
Amnio or derma tl, per sq cm |
|
Q4227
|
Amniocore per sq cm |
|
Q4229
|
Cogenex amnio memb per sq cm |
|
Q4230
|
Cogenex flow amnion 0.5 cc |
|
Q4232
|
Corplex, per sq cm |
|
Q4233
|
Surfactor /nudyn per 0.5 cc |
|
Q4234
|
Xcellerate, per sq cm |
|
Q4235
|
Amniorepair or altiply sq cm |
|
Q4236
|
Carepatch per sq cm |
|
Q4237
|
Cryo-cord, per sq cm |
|
Q4238
|
Derm-maxx, per sq cm |
|
Q4239
|
Amnio-maxx or lite per sq cm |
|
Q4240
|
Corecyte topical only 0.5 cc |
|
Q4241
|
Polycyte, topical only 0.5cc |
|
Q4242
|
Amniocyte plus, per 0.5 cc |
|
Q4245
|
Amniotext, per cc |
|
Q4247
|
Amniotext patch, per sq cm |
|
Q4248
|
Dermacyte amn mem allo sq cm |
|
Q4249
|
Amniply, per sq cm |
|
Q4250
|
Amnioamp-mp per sq cm |
|
Q4251
|
Vim, per square centimeter |
|
Q4252
|
Vendaje, per square centimet |
|
Q4253
|
Zenith amniotic membrane psc |
|
Q4254
|
Novafix dl per sq cm |
|
Q4255
|
Reguard, topical use per sq |
|
Q4256
|
Mlg complet, per sq cm |
|
Q4257
|
Relese, per sq cm |
|
Q4258
|
Enverse, per sq cm |
|
Q4259
|
Celera per sq cm |
|
Q4260
|
Signature apatch, per sq cm |
|
Q4261
|
Tag, per square centimeter |
|
Q4262
|
Dual layer impax, per sq cm |
|
Q4263
|
Surgraft tl, per sq cm |
|
Q4264
|
Cocoon membrane, per sq cm |
|
Q4265
|
Neostim tl per sq cm |
|
Q4266
|
Neostim per sq cm |
|
Q4267
|
Neostim dl per sq cm |
|
Q4268
|
Surgraft ft per sq cm |
|
Q4269
|
Surgraft xt per sq cm |
|
Q4270
|
Complete sl per sq cm |
|
Q4271
|
Complete ft per sq cm |
|
Q4272
|
Esano a, per sq cm |
|
Q4273
|
Esano aaa, per sq cm |
|
Q4274
|
Esano ac, per sq cm |
|
Q4275
|
Esano aca, per sq cm |
|
Q4276
|
Orion, per sq cm |
|
Q4278
|
Epieffect, per sq cm |
|
Q4279
|
Vendaje ac, per sq cm |
|
Q4280
|
Xcell amnio matrix per sq cm |
|
Q4281
|
Barrera slor dl per sq cm |
|
Q4282
|
Cygnus dual per sq cm |
|
Q4283
|
Biovance tri or 3l, sq cm |
|
Q4284
|
Dermabind sl, per sq cm |
|
Q4285
|
Nudyn dl or dl mesh pr sq cm |
|
Q4286
|
Nudyn sl or slw, per sq cm |
|
Q4287
|
Dermabind dl, per sq cm |
|
Q4288
|
Dermabind ch, per sq cm |
|
Q4289
|
Revoshield+ amnio, per sq cm |
|
Q4290
|
Membrane wrap hydr per sq cm |
|
Q4291
|
Lamellas xt, per sq cm |
|
Q4292
|
Lamellas, per sq cm |
|
Q4293
|
Acesso dl, per sq cm |
|
Q4294
|
Amnio quad-core, per sq cm |
|
Q4295
|
Amnio tri-core, per sq cm |
|
Q4296
|
Rebound matrix, per sq cm |
|
Q4297
|
Emerge matrix, per sq cm |
|
Q4298
|
Amniocore pro, per sq cm |
|
Q4299
|
Amniocore pro+, per sq cm |
|
Q4300
|
Acesso tl, per sq cm |
|
Q4301
|
Activate matrix, per sq cm |
|
Q4302
|
Complete aca, per sq cm |
|
Q4303
|
Complete aa, per sq cm |
|
Q4304
|
Grafix plus, per sq cm |
|
Q4305
|
Amer am ac tri-lay per sq cm |
|
Q4306
|
Americ amnion ac per sq cm |
|
Q4307
|
American amnion, per sq cm |
|
Q4308
|
Sanopellis, per sq cm |
|
Q4309
|
Via matrix, per sq cm |
|
Q4310
|
Procenta, per 100 mg |
|
Q4311
|
Acesso, per sq cm |
|
Q4312
|
Acesso ac, per sq cm |
|
Q4313
|
Dermabind fm, per sq cm |
|
Q4314
|
Reeva, per sq cm |
|
Q4315
|
Regenelink amniotic mem allo |
|
Q4316
|
Amchoplast, per sq cm |
|
Q4317
|
Vitograft, per sq cm |
|
Q4318
|
E-graft, per sq cm |
|
Q4319
|
Sanograft, per sq cm |
|
Q4320
|
Pellograft, per sq cm |
|
Q4321
|
Renograft, per sq cm |
|
Q4323
|
Alloply, per sq cm |
|
Q4324
|
Amniotx, per sq cm |
|
Q4325
|
Acapatch, per sq cm |
|
Q4326
|
Woundplus, per sq cm |
|
Q4327
|
Duoamnion, per sq cm |
|
Q4328
|
Most, per sq cm |
|
Q4329
|
Singlay, per sq cm |
|
Q4330
|
Total, per sq cm |
|
Q4331
|
Axolotl graft, per sq cm |
|
Q4332
|
Axolotl dualgraft, per sq cm |
|
Q4333
|
Ardeograft, per sq cm |
|
Q4334
|
Amnioplast 1, per sq cm |
|
Q4335
|
Amnioplast 2, per sq cm |
|
Q4336
|
Artecent c, per sq cm |
|
Q4337
|
Artecent trident, per sq cm |
|
Q4338
|
Artacent velos, per sq cm |
|
Q4339
|
Artacent vericlen, per sq cm |
|
Q4340
|
Simpligraft, per sq cm |
|
Q4341
|
Simplimax, per sq cm |
|
Q4342
|
Theramend, per sq cm |
|
Q4343
|
Dermacyte ac matrx per sq cm |
|
Q4344
|
Tri membrane wrap, per sq cm |
|
Q4345
|
Matrix hd allogrft per sq cm |
|
Q4346
|
Shelter dm matrix per sq cm |
|
Q4347
|
Rampart dl matrix per sq cm |
|
Q4348
|
Sentry sl matrix per sq cm |
|
Q4349
|
Mantle dl matrix per sq cm |
|
Q4350
|
Palisade dm matrix per sq cm |
|
Q4351
|
Enclose tl matrix, per sq cm |
|
Q4352
|
Overlay sl matrix, per sq cm |
|
Q4353
|
Xceed tl matrix per sq cm |
|
Q4354
|
Palingen dl-palingen dl-x |
|
Q4355
|
Abio xpl abio xpl hy p sq cm |
|
Q4356
|
Abio mem abio hyd per sq cm |
|
Q4357
|
Xwrap plus, per sq cm |
|
Q4358
|
Xwrap dual, per sq cm |
|
Q4359
|
Choriply, per sq cm |
|
Q4360
|
Amchoplast fd per sq cm |
|
Q4361
|
Epixpress, per sq cm |
|
Q4362
|
Cygnus disk, per sq cm |
|
Q4363
|
Am bur mem hydro per sq cm |
|
Q4364
|
Am bur xp mem xpl hy p sq cm |
|
Q4365
|
Amnio bur dl mem per sq cm |
|
Q4366
|
Dl amnio bur x-mem per sq cm |
|
Q4367
|
Amniocore sl, per sq cm |
|
Q4368
|
Amchothick per sq cm |
|
Q4369
|
Amnioplast 3 per sq cm |
|
Q4370
|
Aeroguard per sq cm |
|
Q4371
|
Neoguard per sq cm |
|
Q4372
|
Amchoplast excl per sq cm |
|
Q4373
|
Membrane wrp lt per sq cm |
|
Q4375
|
Duograft ac per sq cm |
|
Q4376
|
Duograft aa per sq cm |
|
Q4377
|
Trigraft ft per sq cm |
|
Q4378
|
Renew ft matrix per sq cm |
|
Q4379
|
Amniodefend ft per sq cm |
|
Q4380
|
Advograft one per sq cm |
|
Q4382
|
Advograft dual per sq cm |
|
Q4383
|
Axolotl graft ult per sq cm |
|
Q4384
|
Axolotl dual ult per sq cm |
|
Q4385
|
Apollo ft per sq cm |
|
Q4386
|
Acesso trifaca per sq cm |
|
Q4387
|
Neothelium ft per sq cm |
|
Q4388
|
Neothelium 4l per sq cm |
|
Q4389
|
Neothelium 4l+ per sq cm |
|
Q4390
|
Ascendion per sq cm |
|
Q4391
|
Amnioplast double per sq cm |
|
Q4392
|
Grafix duo per sq cm |
|
Q4393
|
Surgraft ac per sq cm |
|
Q4394
|
Surgraft aca per sq cm |
|
Q4395
|
Acelagraft per sq cm |
|
Q4396
|
Natalin per sq cm |
|
Q4397
|
Summit aaa per sq cm |
|
Q4398
|
Summit ac per sq cm |
|
Q4399
|
Summit fx per sq cm |
|
Q4400
|
Polygon3 per sq cm |
|
Q4401
|
Absolv3 per sq cm |
|
Q4402
|
Xwrap 2.0 per sq cm |
|
Q4403
|
Xwrap dual plus per sq cm |
|
Q4404
|
Xwrap hydro plus per sq cm |
|
Q4405
|
Xwrap fenestra plus sq cm |
|
Q4406
|
Xwrap fenestra per sq cm |
|
Q4407
|
Xwrap tribus per sq cm |
|
Q4408
|
Xwrap hydro per sq cm |
|
Q4409
|
Amniomatrixf3x per sq cm |
|
Q4410
|
Amchomatrixdl per sq cm |
|
Q4411
|
Amniomatrixf4x per sq cm |
|
Q4412
|
Choriofix per sq cm |
|
Q4413
|
Cygnus solo per sq cm |
|
Q4414
|
Simplichor per sq cm |
|
Q4415
|
Alexiguard st-l per sq cm |
|
Q4416
|
Alexiguard tl-t per sq cm |
|
Q4417
|
Alexiguard dl-t per sq cm |
|
Q4420
|
Nuform per sq cm |
|
Q4431
|
Pma skin substitute, nos |
|
Q4432
|
510(k) skin subs, nos |
|
Q4433
|
361 hct/p skin subs, nos |
|
Q5109
|
Injection, ixifi, 10 mg |
|
Q5160
|
Inj, jobevne, 10 mg |
|
Q9969
|
Non-heu tc-99m add-on/dose |
|
S0013
|
Esketamine, nasal spray |
|
S0080
|
Injection, pentamidine iseth |
|
S0189
|
Testosterone pellet 75 mg |
|
J7505
|
Monoclonal antibodies |
|
M1455
|
Rep/rev cied |
|
M1489
|
Pt status doc |