Q4104 Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
Billable / valid for submission HCPCS Release 2026Q3
Short description: Integra bmwd
Version history
| Release | Valid from | Valid to | Description | Billable |
|---|---|---|---|---|
| 2026Q3 | 2026-07-01 | current | Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure) | yes |
Related codes in Q41
- Q4101 Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4102 Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4103 Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4105 Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4107 Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4108 Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4110 Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4111 Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4112 Cymetra, injectable, 1 cc
- Q4113 Graftjacket xpress, injectable, 1 cc
- Q4114 Integra flowable wound matrix, injectable, 1 cc
- Q4115 Alloskin, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4116 Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4117 Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4118 Matristem micromatrix, 1 mg
- Q4121 Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4122 Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4123 Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4124 Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4125 Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)