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HCPCS Q codes: Temporary codes (Q codes)

589 active HCPCS Level II codes beginning with Q, from the CMS October 2026 quarterly file. "Added" is the year the code first appeared in the HCPCS file.

Code	Long description	Short description	Added
`Q0035`	Cardiokymography	Cardiokymography	1989
`Q0081`	Infusion therapy, using other than chemotherapeutic drugs, per visit	Infusion ther other than che	1992
`Q0083`	Chemotherapy administration by other than infusion technique only (e.g., subcutaneous, intramuscular, push), per visit	Chemo by other than infusion	1992
`Q0084`	Chemotherapy administration by infusion technique only, per visit	Chemotherapy by infusion	1992
`Q0085`	Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit	Chemo by both infusion and o	1992
`Q0091`	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	Obtaining screen pap smear	1992
`Q0092`	Set-up portable x-ray equipment	Set up port xray equipment	1993
`Q0111`	Wet mounts, including preparations of vaginal, cervical or skin specimens	Wet mounts/ w preparations	1994
`Q0112`	All potassium hydroxide (koh) preparations	Potassium hydroxide preps	1994
`Q0113`	Pinworm examinations	Pinworm examinations	1994
`Q0114`	Fern test	Fern test	1994
`Q0115`	Post-coital direct, qualitative examinations of vaginal or cervical mucous	Post-coital mucous exam	1994
`Q0138`	Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)	Ferumoxytol, non-esrd	2010
`Q0139`	Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for esrd on dialysis)	Ferumoxytol, esrd use	2010
`Q0144`	Azithromycin dihydrate, oral, capsules/powder, 1 gram	Azithromycin dihydrate, oral	1996
`Q0155`	Dronabinol (syndros), 0.1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Dronabinol (syndros) 0.1 mg	2025
`Q0161`	Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Chlorpromazine hcl 5mg oral	2014
`Q0162`	Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Ondansetron oral	2012
`Q0163`	Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen	Diphenhydramine hcl 50mg	1998
`Q0164`	Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Prochlorperazine maleate 5mg	1998
`Q0166`	Granisetron hydrochloride, 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen	Granisetron hcl 1 mg oral	1998
`Q0167`	Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Dronabinol 2.5mg oral	1998
`Q0169`	Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Promethazine hcl 12.5mg oral	1998
`Q0173`	Trimethobenzamide hydrochloride, 250 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Trimethobenzamide hcl 250mg	1998
`Q0175`	Perphenazine, 4 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Perphenazine 4mg oral	1998
`Q0177`	Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Hydroxyzine pamoate 25mg	1998
`Q0180`	Dolasetron mesylate, 100 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 24 hour dosage regimen	Dolasetron mesylate oral	1998
`Q0181`	Unspecified oral dosage form, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen	Unspecified oral anti-emetic	1998
`Q0224`	Injection, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, and who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, and are unlikely to mount an adequate immune response to covid-19 vaccination, 4500 mg	Inj, pemivibart, 4500 mg	2024
`Q0234`	Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation only, 1 mg	Inj, tocilizumab-bavi, 1mg	2026
`Q0235`	Injection, monoclonal antibody products with an indication for post-exposure prophylaxis or treatment of covid-19, for hospitalized adults and/or pediatric patients who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, not otherwise classified, 1 mg	Inj, monoclon antibody, 1 mg	2025
`Q0237`	Injection, tocilizumab-anoh, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg	Inj, tocilizumab-anoh, hospi	2025
`Q0238`	Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg	Inj, tocilizumab-aazg, hospi	2026
`Q0249`	Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg	Tocilizumab for covid-19	2021
`Q0477`	Power module patient cable for use with electric or electric/pneumatic ventricular assist device, replacement only	Pwr module pt cable lvad rpl	2018
`Q0478`	Power adapter for use with electric or electric/pneumatic ventricular assist device, vehicle type	Power adapter, combo vad	2011
`Q0479`	Power module for use with electric or electric/pneumatic ventricular assist device, replacement only	Power module combo vad, rep	2011
`Q0480`	Driver for use with pneumatic ventricular assist device, replacement only	Driver pneumatic vad, rep	2005
`Q0481`	Microprocessor control unit for use with electric ventricular assist device, replacement only	Microprcsr cu elec vad, rep	2005
`Q0482`	Microprocessor control unit for use with electric/pneumatic combination ventricular assist device, replacement only	Microprcsr cu combo vad, rep	2005
`Q0483`	Monitor/display module for use with electric ventricular assist device, replacement only	Monitor elec vad, rep	2005
`Q0484`	Monitor/display module for use with electric or electric/pneumatic ventricular assist device, replacement only	Monitor elec or comb vad rep	2005
`Q0485`	Monitor control cable for use with electric ventricular assist device, replacement only	Monitor cable elec vad, rep	2005
`Q0486`	Monitor control cable for use with electric/pneumatic ventricular assist device, replacement only	Mon cable elec/pneum vad rep	2005
`Q0487`	Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device, replacement only	Leads any type vad, rep only	2005
`Q0488`	Power pack base for use with electric ventricular assist device, replacement only	Pwr pack base elec vad, rep	2005
`Q0489`	Power pack base for use with electric/pneumatic ventricular assist device, replacement only	Pwr pck base combo vad, rep	2005
`Q0490`	Emergency power source for use with electric ventricular assist device, replacement only	Emr pwr source elec vad, rep	2005
`Q0491`	Emergency power source for use with electric/pneumatic ventricular assist device, replacement only	Emr pwr source combo vad rep	2005
`Q0492`	Emergency power supply cable for use with electric ventricular assist device, replacement only	Emr pwr cbl elec vad, rep	2005
`Q0493`	Emergency power supply cable for use with electric/pneumatic ventricular assist device, replacement only	Emr pwr cbl combo vad, rep	2005
`Q0494`	Emergency hand pump for use with electric or electric/pneumatic ventricular assist device, replacement only	Emr hd pmp elec/combo, rep	2005
`Q0495`	Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device, replacement only	Charger elec/combo vad, rep	2005
`Q0496`	Battery, other than lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only	Battery elec/combo vad, rep	2005
`Q0497`	Battery clips for use with electric or electric/pneumatic ventricular assist device, replacement only	Bat clps elec/comb vad, rep	2005
`Q0498`	Holster for use with electric or electric/pneumatic ventricular assist device, replacement only	Holster elec/combo vad, rep	2005
`Q0499`	Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device, replacement only	Belt/vest elec/combo vad rep	2005
`Q0500`	Filters for use with electric or electric/pneumatic ventricular assist device, replacement only	Filters elec/combo vad, rep	2005
`Q0501`	Shower cover for use with electric or electric/pneumatic ventricular assist device, replacement only	Shwr cov elec/combo vad, rep	2005
`Q0502`	Mobility cart for pneumatic ventricular assist device, replacement only	Mobility cart pneum vad, rep	2005
`Q0503`	Battery for pneumatic ventricular assist device, replacement only, each	Battery pneum vad replacemnt	2005
`Q0504`	Power adapter for pneumatic ventricular assist device, replacement only, vehicle type	Pwr adpt pneum vad, rep veh	2005
`Q0506`	Battery, lithium-ion, for use with electric or electric/pneumatic ventricular assist device, replacement only	Lith-ion batt elec/pneum vad	2010
`Q0507`	Miscellaneous supply or accessory for use with an external ventricular assist device	Misc sup/acc ext vad	2013
`Q0508`	Miscellaneous supply or accessory for use with an implanted ventricular assist device	Mis sup/acc imp vad	2013
`Q0509`	Miscellaneous supply or accessory for use with any implanted ventricular assist device for which payment was not made under medicare part a	Mis sup/ac imp vad nopay med	2013
`Q0510`	Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant	Dispens fee immunosupressive	2006
`Q0511`	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	Sup fee antiem,antica,immuno	2006
`Q0512`	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	Px sup fee anti-can sub pres	2006
`Q0513`	Pharmacy dispensing fee for inhalation drug(s); per 30 days	Disp fee inhal drugs/30 days	2006
`Q0514`	Pharmacy dispensing fee for inhalation drug(s); per 90 days	Disp fee inhal drugs/90 days	2006
`Q0515`	Injection, sermorelin acetate, 1 microgram	Sermorelin acetate injection	2006
`Q0521`	Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription	Supply fee hiv prep fda appr	2025
`Q1004`	New technology intraocular lens category 4 as defined in federal register notice	Ntiol category 4	1999
`Q1005`	New technology intraocular lens category 5 as defined in federal register notice	Ntiol category 5	1999
`Q2004`	Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml	Bladder calculi irrig sol	2000
`Q2009`	Injection, fosphenytoin, 50 mg phenytoin equivalent	Fosphenytoin inj pe	2000
`Q2026`	Injection, radiesse, 0.1 ml	Radiesse injection	2010
`Q2028`	Injection, sculptra, 0.5 mg	Inj, sculptra, 0.5mg	2014
`Q2034`	Influenza virus vaccine, split virus, for intramuscular use (agriflu)	Agriflu vaccine	2012
`Q2035`	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	Afluria vacc, 3 yrs & >, im	2011
`Q2036`	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	Flulaval vacc, 3 yrs & >, im	2011
`Q2037`	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	Fluvirin vacc, 3 yrs & >, im	2011
`Q2038`	Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	Fluzone vacc, 3 yrs & >, im	2011
`Q2039`	Influenza virus vaccine, not otherwise specified	Influenza virus vaccine, nos	2011
`Q2041`	Axicabtagene ciloleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose	Axicabtagene ciloleucel car+	2018
`Q2042`	Tisagenlecleucel, up to 600 million car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose	Tisagenlecleucel car-pos t	2019
`Q2043`	Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion	Sipuleucel-t auto cd54+	2011
`Q2049`	Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg	Imported lipodox inj	2012
`Q2050`	Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg	Doxorubicin inj 10mg	2013
`Q2052`	Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)	Home ivig, services/supplies	2014
`Q2053`	Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose	Brexucabtagene car pos t	2021
`Q2054`	Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose	Lisocabtagene mara car pos t	2021
`Q2055`	Idecabtagene vicleucel, up to 510 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose	Idecabtagene vicleucel car	2022
`Q2056`	Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose	Ciltacabtagene car-pos t	2022
`Q2057`	Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose	Afamitresgene autoleucel	2025
`Q2058`	Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion	Obecbtge autol up to 400 mil	2025
`Q3001`	Radioelements for brachytherapy, any type, each	Brachytherapy radioelements	2000
`Q3014`	Telehealth originating site facility fee	Telehealth facility fee	2001
`Q3027`	Injection, interferon beta-1a, 1 mcg for intramuscular use	Inj beta interferon im 1 mcg	2014
`Q3028`	Injection, interferon beta-1a, 1 mcg for subcutaneous use	Inj beta interferon sq 1 mcg	2014
`Q3031`	Collagen skin test	Collagen skin test	2003
`Q4001`	Casting supplies, body cast adult, with or without head, plaster	Cast sup body cast plaster	2001
`Q4002`	Cast supplies, body cast adult, with or without head, fiberglass	Cast sup body cast fiberglas	2001
`Q4003`	Cast supplies, shoulder cast, adult (11 years +), plaster	Cast sup shoulder cast plstr	2001
`Q4004`	Cast supplies, shoulder cast, adult (11 years +), fiberglass	Cast sup shoulder cast fbrgl	2001
`Q4005`	Cast supplies, long arm cast, adult (11 years +), plaster	Cast sup long arm adult plst	2001
`Q4006`	Cast supplies, long arm cast, adult (11 years +), fiberglass	Cast sup long arm adult fbrg	2001
`Q4007`	Cast supplies, long arm cast, pediatric (0-10 years), plaster	Cast sup long arm ped plster	2001
`Q4008`	Cast supplies, long arm cast, pediatric (0-10 years), fiberglass	Cast sup long arm ped fbrgls	2001
`Q4009`	Cast supplies, short arm cast, adult (11 years +), plaster	Cast sup sht arm adult plstr	2001
`Q4010`	Cast supplies, short arm cast, adult (11 years +), fiberglass	Cast sup sht arm adult fbrgl	2001
`Q4011`	Cast supplies, short arm cast, pediatric (0-10 years), plaster	Cast sup sht arm ped plaster	2001
`Q4012`	Cast supplies, short arm cast, pediatric (0-10 years), fiberglass	Cast sup sht arm ped fbrglas	2001
`Q4013`	Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster	Cast sup gauntlet plaster	2001
`Q4014`	Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass	Cast sup gauntlet fiberglass	2001
`Q4015`	Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster	Cast sup gauntlet ped plster	2001
`Q4016`	Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass	Cast sup gauntlet ped fbrgls	2001
`Q4017`	Cast supplies, long arm splint, adult (11 years +), plaster	Cast sup lng arm splint plst	2001
`Q4018`	Cast supplies, long arm splint, adult (11 years +), fiberglass	Cast sup lng arm splint fbrg	2001
`Q4019`	Cast supplies, long arm splint, pediatric (0-10 years), plaster	Cast sup lng arm splnt ped p	2001
`Q4020`	Cast supplies, long arm splint, pediatric (0-10 years), fiberglass	Cast sup lng arm splnt ped f	2001
`Q4021`	Cast supplies, short arm splint, adult (11 years +), plaster	Cast sup sht arm splint plst	2001
`Q4022`	Cast supplies, short arm splint, adult (11 years +), fiberglass	Cast sup sht arm splint fbrg	2001
`Q4023`	Cast supplies, short arm splint, pediatric (0-10 years), plaster	Cast sup sht arm splnt ped p	2001
`Q4024`	Cast supplies, short arm splint, pediatric (0-10 years), fiberglass	Cast sup sht arm splnt ped f	2001
`Q4025`	Cast supplies, hip spica (one or both legs), adult (11 years +), plaster	Cast sup hip spica plaster	2001
`Q4026`	Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass	Cast sup hip spica fiberglas	2001
`Q4027`	Cast supplies, hip spica (one or both legs), pediatric (0-10 years), plaster	Cast sup hip spica ped plstr	2001
`Q4028`	Cast supplies, hip spica (one or both legs), pediatric (0-10 years), fiberglass	Cast sup hip spica ped fbrgl	2001
`Q4029`	Cast supplies, long leg cast, adult (11 years +), plaster	Cast sup long leg plaster	2001
`Q4030`	Cast supplies, long leg cast, adult (11 years +), fiberglass	Cast sup long leg fiberglass	2001
`Q4031`	Cast supplies, long leg cast, pediatric (0-10 years), plaster	Cast sup lng leg ped plaster	2001
`Q4032`	Cast supplies, long leg cast, pediatric (0-10 years), fiberglass	Cast sup lng leg ped fbrgls	2001
`Q4033`	Cast supplies, long leg cylinder cast, adult (11 years +), plaster	Cast sup lng leg cylinder pl	2001
`Q4034`	Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass	Cast sup lng leg cylinder fb	2001
`Q4035`	Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster	Cast sup lngleg cylndr ped p	2001
`Q4036`	Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass	Cast sup lngleg cylndr ped f	2001
`Q4037`	Cast supplies, short leg cast, adult (11 years +), plaster	Cast sup shrt leg plaster	2001
`Q4038`	Cast supplies, short leg cast, adult (11 years +), fiberglass	Cast sup shrt leg fiberglass	2001
`Q4039`	Cast supplies, short leg cast, pediatric (0-10 years), plaster	Cast sup shrt leg ped plster	2001
`Q4040`	Cast supplies, short leg cast, pediatric (0-10 years), fiberglass	Cast sup shrt leg ped fbrgls	2001
`Q4041`	Cast supplies, long leg splint, adult (11 years +), plaster	Cast sup lng leg splnt plstr	2001
`Q4042`	Cast supplies, long leg splint, adult (11 years +), fiberglass	Cast sup lng leg splnt fbrgl	2001
`Q4043`	Cast supplies, long leg splint, pediatric (0-10 years), plaster	Cast sup lng leg splnt ped p	2001
`Q4044`	Cast supplies, long leg splint, pediatric (0-10 years), fiberglass	Cast sup lng leg splnt ped f	2001
`Q4045`	Cast supplies, short leg splint, adult (11 years +), plaster	Cast sup sht leg splnt plstr	2001
`Q4046`	Cast supplies, short leg splint, adult (11 years +), fiberglass	Cast sup sht leg splnt fbrgl	2001
`Q4047`	Cast supplies, short leg splint, pediatric (0-10 years), plaster	Cast sup sht leg splnt ped p	2001
`Q4048`	Cast supplies, short leg splint, pediatric (0-10 years), fiberglass	Cast sup sht leg splnt ped f	2001
`Q4049`	Finger splint, static	Finger splint, static	2001
`Q4050`	Cast supplies, for unlisted types and materials of casts	Cast supplies unlisted	2001
`Q4051`	Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies)	Splint supplies misc	2001
`Q4074`	Iloprost, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 20 micrograms	Iloprost non-comp unit dose	2010
`Q4081`	Injection, epoetin alfa, 100 units (for esrd on dialysis)	Epoetin alfa, 100 units esrd	2007
`Q4082`	Drug or biological, not otherwise classified, part b drug competitive acquisition program (cap)	Drug/bio noc part b drug cap	2007
`Q4101`	Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)	Apligraf	2009
`Q4102`	Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Oasis wound matrix	2009
`Q4103`	Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Oasis burn matrix	2009
`Q4104`	Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)	Integra bmwd	2009
`Q4105`	Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Integra drt or omnigraft	2009
`Q4107`	Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)	Graftjacket	2009
`Q4108`	Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Integra matrix	2009
`Q4110`	Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)	Primatrix	2009
`Q4111`	Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)	Gammagraft	2009
`Q4112`	Cymetra, injectable, 1 cc	Cymetra injectable	2009
`Q4113`	Graftjacket xpress, injectable, 1 cc	Graftjacket xpress	2009
`Q4114`	Integra flowable wound matrix, injectable, 1 cc	Integra flowable wound matri	2009
`Q4115`	Alloskin, per square centimeter (add-on, list separately in addition to primary procedure)	Alloskin	2009
`Q4116`	Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)	Alloderm	2009
`Q4117`	Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)	Hyalomatrix	2011
`Q4118`	Matristem micromatrix, 1 mg	Matristem micromatrix	2011
`Q4121`	Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)	Theraskin	2011
`Q4122`	Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)	Dermacell, awm, porous sq cm	2012
`Q4123`	Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure)	Alloskin	2012
`Q4124`	Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Oasis tri-layer wound matrix	2012
`Q4125`	Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)	Arthroflex	2012
`Q4126`	Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)	Memoderm/derma/tranz/integup	2012
`Q4127`	Talymed, per square centimeter (add-on, list separately in addition to primary procedure)	Talymed	2012
`Q4128`	Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)	Flexhd/allopatchhd/sq cm	2012
`Q4130`	Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)	Strattice tm	2012
`Q4132`	Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)	Grafix core, grafixpl core	2013
`Q4133`	Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)	Grafix stravix prime pl sqcm	2013
`Q4134`	Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure)	Hmatrix	2013
`Q4135`	Mediskin, per square centimeter (add-on, list separately in addition to primary procedure)	Mediskin	2013
`Q4136`	Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure)	Ezderm	2013
`Q4137`	Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)	Amnioexcel biodexcel 1sq cm	2014
`Q4138`	Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure)	Biodfence dryflex, 1cm	2014
`Q4139`	Amniomatrix or biodmatrix, injectable, 1 cc	Amnio or biodmatrix, inj 1cc	2014
`Q4140`	Biodfence, per square centimeter (add-on, list separately in addition to primary procedure)	Biodfence 1cm	2014
`Q4141`	Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure)	Alloskin ac, 1 cm	2014
`Q4142`	Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Xcm biologic tiss matrix 1cm	2014
`Q4143`	Repriza, per square centimeter (add-on, list separately in addition to primary procedure)	Repriza, 1cm	2014
`Q4145`	Epifix, injectable, 1 mg	Epifix, inj, 1mg	2014
`Q4146`	Tensix, per square centimeter (add-on, list separately in addition to primary procedure)	Tensix, 1cm	2014
`Q4147`	Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Architect ecm px fx 1 sq cm	2014
`Q4148`	Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)	Neox neox rt or clarix cord	2014
`Q4149`	Excellagen, 0.1 cc	Excellagen, 0.1 cc	2014
`Q4150`	Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure)	Allowrap ds or dry 1 sq cm	2015
`Q4151`	Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure)	Amnioband, guardian 1 sq cm	2015
`Q4152`	Dermapure, per square centimeter (add-on, list separately in addition to primary procedure)	Dermapure 1 square cm	2015
`Q4153`	Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure)	Dermavest, plurivest sq cm	2015
`Q4154`	Biovance, per square centimeter (add-on, list separately in addition to primary procedure)	Biovance 1 square cm	2015
`Q4155`	Neoxflo or clarixflo, 1 mg	Neoxflo or clarixflo 1 mg	2015
`Q4156`	Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)	Neox 100 or clarix 100	2015
`Q4157`	Revitalon, per square centimeter (add-on, list separately in addition to primary procedure)	Revitalon 1 square cm	2015
`Q4158`	Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)	Kerecis omega3, per sq cm	2015
`Q4159`	Affinity, per square centimeter (add-on, list separately in addition to primary procedure)	Affinity1 square cm	2015
`Q4160`	Nushield, per square centimeter (add-on, list separately in addition to primary procedure)	Nushield 1 square cm	2015
`Q4161`	Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Bio-connekt per square cm	2016
`Q4162`	Woundex flow, bioskin flow, 0.5 cc	Wndex flw, bioskn flw, 0.5cc	2016
`Q4163`	Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure)	Woundex, bioskin, per sq cm	2016
`Q4164`	Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)	Helicoll, per square cm	2016
`Q4165`	Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure)	Keramatrix, kerasorb sq cm	2016
`Q4166`	Cytal, per square centimeter (add-on, list separately in addition to primary procedure)	Cytal, per square centimeter	2017
`Q4167`	Truskin, per square centimeter (add-on, list separately in addition to primary procedure)	Truskin, per sq centimeter	2017
`Q4168`	Amnioband, 1 mg	Amnioband, 1 mg	2017
`Q4169`	Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure)	Artacent wound, per sq cm	2017
`Q4170`	Cygnus, per square centimeter (add-on, list separately in addition to primary procedure)	Cygnus, per sq cm	2017
`Q4171`	Interfyl, 1 mg	Interfyl, 1 mg	2017
`Q4173`	Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)	Palingen or palingen xplus	2017
`Q4174`	Palingen or promatrx, 0.36 mg per 0.25 cc	Palingen or promatrx	2017
`Q4175`	Miroderm, per square centimeter (add-on, list separately in addition to primary procedure)	Miroderm	2017
`Q4176`	Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure)	Neopatch or therion, 1 sq cm	2018
`Q4177`	Floweramnioflo, 0.1 cc	Floweramnioflo, 0.1 cc	2018
`Q4178`	Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)	Floweramniopatch, per sq cm	2018
`Q4179`	Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)	Flowerderm, per sq cm	2018
`Q4180`	Revita, per square centimeter (add-on, list separately in addition to primary procedure)	Revita, per sq cm	2018
`Q4181`	Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure)	Amnio wound, per square cm	2018
`Q4182`	Transcyte, per square centimeter (add-on, list separately in addition to primary procedure)	Transcyte, per sq centimeter	2018
`Q4183`	Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure)	Surgigraft, 1 sq cm	2019
`Q4184`	Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure)	Cellesta or duo per sq cm	2019
`Q4185`	Cellesta flowable amnion (25 mg per cc); per 0.5 cc	Cellesta flowab amnion 0.5cc	2019
`Q4186`	Epifix, per square centimeter (add-on, list separately in addition to primary procedure)	Epifix 1 sq cm	2019
`Q4187`	Epicord, per square centimeter (add-on, list separately in addition to primary procedure)	Epicord 1 sq cm	2019
`Q4188`	Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)	Amnioarmor 1 sq cm	2019
`Q4189`	Artacent ac, 1 mg	Artacent ac, 1 mg	2019
`Q4190`	Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)	Artacent ac 1 sq cm	2019
`Q4191`	Restorigin, per square centimeter (add-on, list separately in addition to primary procedure)	Restorigin 1 sq cm	2019
`Q4192`	Restorigin, 1 cc	Restorigin, 1 cc	2019
`Q4193`	Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)	Coll-e-derm 1 sq cm	2019
`Q4194`	Novachor, per square centimeter (add-on, list separately in addition to primary procedure)	Novachor 1 sq cm	2019
`Q4195`	Puraply, per square centimeter (add-on, list separately in addition to primary procedure)	Puraply 1 sq cm	2019
`Q4196`	Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)	Puraply am 1 sq cm	2019
`Q4197`	Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)	Puraply xt 1 sq cm	2019
`Q4198`	Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Genesis amnio membrane 1sqcm	2019
`Q4199`	Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Cygnus matrix, per sq cm	2022
`Q4200`	Skin te, per square centimeter (add-on, list separately in addition to primary procedure)	Skin te 1 sq cm	2019
`Q4201`	Matrion, per square centimeter (add-on, list separately in addition to primary procedure)	Matrion 1 sq cm	2019
`Q4202`	Keroxx (2.5g/cc), 1cc	Keroxx (2.5g/cc), 1cc	2019
`Q4203`	Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure)	Derma-gide, 1 sq cm	2019
`Q4204`	Xwrap, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap 1 sq cm	2019
`Q4205`	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	Membrane graft or wrap sq cm	2019
`Q4206`	Fluid flow or fluid gf, 1 cc	Fluid flow or fluid gf 1 cc	2019
`Q4207`	Carbon life, per square centimeter (add-on, list separately in addition to primary procedure)	Carbon life, per sq cm	2026
`Q4208`	Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure)	Novafix per sq cm	2019
`Q4209`	Surgraft, per square centimeter (add-on, list separately in addition to primary procedure)	Surgraft per sq cm	2019
`Q4211`	Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure)	Amnion bio or axobio sq cm	2019
`Q4212`	Allogen, per cc	Allogen, per cc	2019
`Q4213`	Ascent, 0.5 mg	Ascent, 0.5 mg	2019
`Q4214`	Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure)	Cellesta cord per sq cm	2019
`Q4215`	Axolotl ambient or axolotl cryo, 0.1 mg	Axolotl ambient, cryo 0.1 mg	2019
`Q4216`	Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure)	Artacent cord per sq cm	2019
`Q4217`	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	Woundfix biowound plus xplus	2019
`Q4218`	Surgicord, per square centimeter (add-on, list separately in addition to primary procedure)	Surgicord per sq cm	2019
`Q4219`	Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure)	Surgigraft dual per sq cm	2019
`Q4220`	Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure)	Bellacell hd, surederm sq cm	2019
`Q4221`	Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)	Amniowrap2 per sq cm	2019
`Q4222`	Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure)	Progenamatrix, per sq cm	2019
`Q4223`	Dermabind sl optic, per square centimeter (add-on, list separately in addition to primary procedure)	Dermabind sl optic per sq cm	2026
`Q4224`	Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure)	Hhf10-p per sq cm	2022
`Q4225`	Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure)	Amnio or derma tl, per sq cm	2022
`Q4226`	Myown skin, includes harvesting and preparation procedures, per square centimeter	Myown harv prep proc sq cm	2019
`Q4227`	Amniocore, per square centimeter (add-on, list separately in addition to primary procedure)	Amniocore per sq cm	2020
`Q4229`	Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Cogenex amnio memb per sq cm	2020
`Q4230`	Cogenex flowable amnion, per 0.5 cc	Cogenex flow amnion 0.5 cc	2020
`Q4232`	Corplex, per square centimeter (add-on, list separately in addition to primary procedure)	Corplex, per sq cm	2020
`Q4233`	Surfactor or nudyn, per 0.5 cc	Surfactor /nudyn per 0.5 cc	2020
`Q4234`	Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure)	Xcellerate, per sq cm	2020
`Q4235`	Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure)	Amniorepair or altiply sq cm	2020
`Q4236`	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	Carepatch per sq cm	2020
`Q4237`	Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure)	Cryo-cord, per sq cm	2020
`Q4238`	Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure)	Derm-maxx, per sq cm	2020
`Q4239`	Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure)	Amnio-maxx or lite per sq cm	2020
`Q4240`	Corecyte, for topical use only, per 0.5 cc	Corecyte topical only 0.5 cc	2020
`Q4241`	Polycyte, for topical use only, per 0.5 cc	Polycyte, topical only 0.5cc	2020
`Q4242`	Amniocyte plus, per 0.5 cc	Amniocyte plus, per 0.5 cc	2020
`Q4243`	Amchomatrix, per square centimeter (add-on, list separately in addition to primary procedure)	Amchomatrix, per sq cm	2026
`Q4245`	Amniotext, per cc	Amniotext, per cc	2020
`Q4246`	Coretext or protext, per cc	Coretext or protext, per cc	2020
`Q4247`	Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure)	Amniotext patch, per sq cm	2020
`Q4248`	Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)	Dermacyte amn mem allo sq cm	2020
`Q4249`	Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)	Amniply, per sq cm	2020
`Q4250`	Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)	Amnioamp-mp per sq cm	2020
`Q4251`	Vim, per square centimeter (add-on, list separately in addition to primary procedure)	Vim, per square centimeter	2021
`Q4252`	Vendaje, per square centimeter (add-on, list separately in addition to primary procedure)	Vendaje, per square centimet	2021
`Q4253`	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Zenith amniotic membrane psc	2021
`Q4254`	Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure)	Novafix dl per sq cm	2020
`Q4255`	Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)	Reguard, topical use per sq	2020
`Q4256`	Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure)	Mlg complet, per sq cm	2022
`Q4257`	Relese, per square centimeter (add-on, list separately in addition to primary procedure)	Relese, per sq cm	2022
`Q4258`	Enverse, per square centimeter (add-on, list separately in addition to primary procedure)	Enverse, per sq cm	2022
`Q4259`	Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Celera per sq cm	2022
`Q4260`	Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure)	Signature apatch, per sq cm	2022
`Q4261`	Tag, per square centimeter (add-on, list separately in addition to primary procedure)	Tag, per square centimeter	2022
`Q4262`	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Dual layer impax, per sq cm	2023
`Q4263`	Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure)	Surgraft tl, per sq cm	2023
`Q4264`	Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Cocoon membrane, per sq cm	2023
`Q4265`	Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure)	Neostim tl per sq cm	2023
`Q4266`	Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Neostim per sq cm	2023
`Q4267`	Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure)	Neostim dl per sq cm	2023
`Q4268`	Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure)	Surgraft ft per sq cm	2023
`Q4269`	Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure)	Surgraft xt per sq cm	2023
`Q4270`	Complete sl, per square centimeter (add-on, list separately in addition to primary procedure)	Complete sl per sq cm	2023
`Q4271`	Complete ft, per square centimeter (add-on, list separately in addition to primary procedure)	Complete ft per sq cm	2023
`Q4272`	Esano a, per square centimeter (add-on, list separately in addition to primary procedure)	Esano a, per sq cm	2023
`Q4273`	Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure)	Esano aaa, per sq cm	2023
`Q4274`	Esano ac, per square centimeter (add-on, list separately in addition to primary procedure)	Esano ac, per sq cm	2023
`Q4275`	Esano aca, per square centimeter (add-on, list separately in addition to primary procedure)	Esano aca, per sq cm	2023
`Q4276`	Orion, per square centimeter (add-on, list separately in addition to primary procedure)	Orion, per sq cm	2023
`Q4278`	Epieffect, per square centimeter (add-on, list separately in addition to primary procedure)	Epieffect, per sq cm	2023
`Q4279`	Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure)	Vendaje ac, per sq cm	2024
`Q4280`	Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Xcell amnio matrix per sq cm	2023
`Q4281`	Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure)	Barrera slor dl per sq cm	2023
`Q4282`	Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure)	Cygnus dual per sq cm	2023
`Q4283`	Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure)	Biovance tri or 3l, sq cm	2023
`Q4284`	Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure)	Dermabind sl, per sq cm	2023
`Q4285`	Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure)	Nudyn dl or dl mesh pr sq cm	2023
`Q4286`	Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure)	Nudyn sl or slw, per sq cm	2023
`Q4287`	Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure)	Dermabind dl, per sq cm	2024
`Q4288`	Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure)	Dermabind ch, per sq cm	2024
`Q4289`	Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure)	Revoshield+ amnio, per sq cm	2024
`Q4290`	Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure)	Membrane wrap hydr per sq cm	2024
`Q4291`	Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure)	Lamellas xt, per sq cm	2024
`Q4292`	Lamellas, per square centimeter (add-on, list separately in addition to primary procedure)	Lamellas, per sq cm	2024
`Q4293`	Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure)	Acesso dl, per sq cm	2024
`Q4294`	Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure)	Amnio quad-core, per sq cm	2024
`Q4295`	Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure)	Amnio tri-core, per sq cm	2024
`Q4296`	Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Rebound matrix, per sq cm	2024
`Q4297`	Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Emerge matrix, per sq cm	2024
`Q4298`	Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure)	Amniocore pro, per sq cm	2024
`Q4299`	Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure)	Amniocore pro+, per sq cm	2024
`Q4300`	Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure)	Acesso tl, per sq cm	2024
`Q4301`	Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Activate matrix, per sq cm	2024
`Q4302`	Complete aca, per square centimeter (add-on, list separately in addition to primary procedure)	Complete aca, per sq cm	2024
`Q4303`	Complete aa, per square centimeter (add-on, list separately in addition to primary procedure)	Complete aa, per sq cm	2024
`Q4304`	Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure)	Grafix plus, per sq cm	2024
`Q4305`	American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure)	Amer am ac tri-lay per sq cm	2024
`Q4306`	American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure)	Americ amnion ac per sq cm	2024
`Q4307`	American amnion, per square centimeter (add-on, list separately in addition to primary procedure)	American amnion, per sq cm	2024
`Q4308`	Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure)	Sanopellis, per sq cm	2024
`Q4309`	Via matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Via matrix, per sq cm	2024
`Q4310`	Procenta, per 100 mg	Procenta, per 100 mg	2024
`Q4311`	Acesso, per square centimeter (add-on, list separately in addition to primary procedure)	Acesso, per sq cm	2024
`Q4312`	Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure)	Acesso ac, per sq cm	2024
`Q4313`	Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure)	Dermabind fm, per sq cm	2024
`Q4314`	Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure)	Reeva, per sq cm	2024
`Q4315`	Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)	Regenelink amniotic mem allo	2024
`Q4316`	Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure)	Amchoplast, per sq cm	2024
`Q4317`	Vitograft, per square centimeter (add-on, list separately in addition to primary procedure)	Vitograft, per sq cm	2024
`Q4318`	E-graft, per square centimeter (add-on, list separately in addition to primary procedure)	E-graft, per sq cm	2024
`Q4319`	Sanograft, per square centimeter (add-on, list separately in addition to primary procedure)	Sanograft, per sq cm	2024
`Q4320`	Pellograft, per square centimeter (add-on, list separately in addition to primary procedure)	Pellograft, per sq cm	2024
`Q4321`	Renograft, per square centimeter (add-on, list separately in addition to primary procedure)	Renograft, per sq cm	2024
`Q4322`	Caregraft, per square centimeter (add-on, list separately in addition to primary procedure)	Caregraft, per sq cm	2024
`Q4323`	Alloply, per square centimeter (add-on, list separately in addition to primary procedure)	Alloply, per sq cm	2024
`Q4324`	Amniotx, per square centimeter (add-on, list separately in addition to primary procedure)	Amniotx, per sq cm	2024
`Q4325`	Acapatch, per square centimeter (add-on, list separately in addition to primary procedure)	Acapatch, per sq cm	2024
`Q4326`	Woundplus, per square centimeter (add-on, list separately in addition to primary procedure)	Woundplus, per sq cm	2024
`Q4327`	Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure)	Duoamnion, per sq cm	2024
`Q4328`	Most, per square centimeter (add-on, list separately in addition to primary procedure)	Most, per sq cm	2024
`Q4329`	Singlay, per square centimeter (add-on, list separately in addition to primary procedure)	Singlay, per sq cm	2024
`Q4330`	Total, per square centimeter (add-on, list separately in addition to primary procedure)	Total, per sq cm	2024
`Q4331`	Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure)	Axolotl graft, per sq cm	2024
`Q4332`	Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure)	Axolotl dualgraft, per sq cm	2024
`Q4333`	Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure)	Ardeograft, per sq cm	2024
`Q4334`	Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure)	Amnioplast 1, per sq cm	2024
`Q4335`	Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure)	Amnioplast 2, per sq cm	2024
`Q4336`	Artacent c, per square centimeter (add-on, list separately in addition to primary procedure)	Artecent c, per sq cm	2024
`Q4337`	Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure)	Artecent trident, per sq cm	2024
`Q4338`	Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure)	Artacent velos, per sq cm	2024
`Q4339`	Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure)	Artacent vericlen, per sq cm	2024
`Q4340`	Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure)	Simpligraft, per sq cm	2024
`Q4341`	Simplimax, per square centimeter (add-on, list separately in addition to primary procedure)	Simplimax, per sq cm	2024
`Q4342`	Theramend, per square centimeter (add-on, list separately in addition to primary procedure)	Theramend, per sq cm	2024
`Q4343`	Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)	Dermacyte ac matrx per sq cm	2024
`Q4344`	Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	Tri membrane wrap, per sq cm	2024
`Q4345`	Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure)	Matrix hd allogrft per sq cm	2024
`Q4346`	Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Shelter dm matrix per sq cm	2025
`Q4347`	Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Rampart dl matrix per sq cm	2025
`Q4348`	Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Sentry sl matrix per sq cm	2025
`Q4349`	Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Mantle dl matrix per sq cm	2025
`Q4350`	Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Palisade dm matrix per sq cm	2025
`Q4351`	Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Enclose tl matrix, per sq cm	2025
`Q4352`	Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Overlay sl matrix, per sq cm	2025
`Q4353`	Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Xceed tl matrix per sq cm	2025
`Q4354`	Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Palingen dl-palingen dl-x	2025
`Q4355`	Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)	Abio xpl abio xpl hy p sq cm	2025
`Q4356`	Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)	Abio mem abio hyd per sq cm	2025
`Q4357`	Xwrap plus, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap plus, per sq cm	2025
`Q4358`	Xwrap dual, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap dual, per sq cm	2025
`Q4359`	Choriply, per square centimeter (add-on, list separately in addition to primary procedure)	Choriply, per sq cm	2025
`Q4360`	Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure)	Amchoplast fd per sq cm	2025
`Q4361`	Epixpress, per square centimeter (add-on, list separately in addition to primary procedure)	Epixpress, per sq cm	2025
`Q4362`	Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure)	Cygnus disk, per sq cm	2025
`Q4363`	Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)	Am bur mem hydro per sq cm	2025
`Q4364`	Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)	Am bur xp mem xpl hy p sq cm	2025
`Q4365`	Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Amnio bur dl mem per sq cm	2025
`Q4366`	Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Dl amnio bur x-mem per sq cm	2025
`Q4367`	Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure)	Amniocore sl, per sq cm	2025
`Q4368`	Amchothick, per square centimeter (add-on, list separately in addition to primary procedure)	Amchothick per sq cm	2025
`Q4369`	Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure)	Amnioplast 3 per sq cm	2025
`Q4370`	Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure)	Aeroguard per sq cm	2025
`Q4371`	Neoguard, per square centimeter (add-on, list separately in addition to primary procedure)	Neoguard per sq cm	2025
`Q4372`	Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure)	Amchoplast excl per sq cm	2025
`Q4373`	Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure)	Membrane wrp lt per sq cm	2025
`Q4375`	Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure)	Duograft ac per sq cm	2025
`Q4376`	Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure)	Duograft aa per sq cm	2025
`Q4377`	Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure)	Trigraft ft per sq cm	2025
`Q4378`	Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Renew ft matrix per sq cm	2025
`Q4379`	Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure)	Amniodefend ft per sq cm	2025
`Q4380`	Advograft one, per square centimeter (add-on, list separately in addition to primary procedure)	Advograft one per sq cm	2025
`Q4382`	Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure)	Advograft dual per sq cm	2025
`Q4383`	Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure)	Axolotl graft ult per sq cm	2025
`Q4384`	Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure)	Axolotl dual ult per sq cm	2025
`Q4385`	Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure)	Apollo ft per sq cm	2025
`Q4386`	Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure)	Acesso trifaca per sq cm	2025
`Q4387`	Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure)	Neothelium ft per sq cm	2025
`Q4388`	Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure)	Neothelium 4l per sq cm	2025
`Q4389`	Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure)	Neothelium 4l+ per sq cm	2025
`Q4390`	Ascendion, per square centimeter (add-on, list separately in addition to primary procedure)	Ascendion per sq cm	2025
`Q4391`	Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure)	Amnioplast double per sq cm	2025
`Q4392`	Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure)	Grafix duo per sq cm	2025
`Q4393`	Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure)	Surgraft ac per sq cm	2025
`Q4394`	Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure)	Surgraft aca per sq cm	2025
`Q4395`	Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure)	Acelagraft per sq cm	2025
`Q4396`	Natalin, per square centimeter (add-on, list separately in addition to primary procedure)	Natalin per sq cm	2025
`Q4397`	Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure)	Summit aaa per sq cm	2025
`Q4398`	Summit ac, per square centimeter (add-on, list separately in addition to primary procedure)	Summit ac per sq cm	2026
`Q4399`	Summit fx, per square centimeter (add-on, list separately in addition to primary procedure)	Summit fx per sq cm	2026
`Q4400`	Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Polygon3 per sq cm	2026
`Q4401`	Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Absolv3 per sq cm	2026
`Q4402`	Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap 2.0 per sq cm	2026
`Q4403`	Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap dual plus per sq cm	2026
`Q4404`	Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap hydro plus per sq cm	2026
`Q4405`	Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap fenestra plus sq cm	2026
`Q4406`	Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap fenestra per sq cm	2026
`Q4407`	Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap tribus per sq cm	2026
`Q4408`	Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure)	Xwrap hydro per sq cm	2026
`Q4409`	Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure)	Amniomatrixf3x per sq cm	2026
`Q4410`	Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure)	Amchomatrixdl per sq cm	2026
`Q4411`	Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure)	Amniomatrixf4x per sq cm	2026
`Q4412`	Choriofix, per square centimeter (add-on, list separately in addition to primary procedure)	Choriofix per sq cm	2026
`Q4413`	Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure)	Cygnus solo per sq cm	2026
`Q4414`	Simplichor, per square centimeter (add-on, list separately in addition to primary procedure)	Simplichor per sq cm	2026
`Q4415`	Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure)	Alexiguard st-l per sq cm	2026
`Q4416`	Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure)	Alexiguard tl-t per sq cm	2026
`Q4417`	Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure)	Alexiguard dl-t per sq cm	2026
`Q4418`	Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)	Biolab wrap flow per sq cm	2026
`Q4419`	Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure)	Biolab wrap flw lt per sq cm	2026
`Q4420`	Nuform, per square centimeter (add-on, list separately in addition to primary procedure)	Nuform per sq cm	2026
`Q4421`	Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure)	Biolab wrap solo per sq cm	2026
`Q4422`	A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure)	Ac wrap per sq cm	2026
`Q4423`	Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure)	Biolab tri wrap fl per sq cm	2026
`Q4424`	Revive ft, per square centimeter (add-on, list separately in addition to primary procedure)	Revive ft per sq cm	2026
`Q4425`	Revive tl, per square centimeter (add-on, list separately in addition to primary procedure)	Revive tl per sq cm	2026
`Q4426`	Dermabind tl + or dermabind tl x, per square centimeter (add-on, list separately in addition to primary procedure)	Dermbnd tl+, tlx per sq cm	2026
`Q4427`	Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure)	Dermbnd dln dl+ dlx sq cm	2026
`Q4428`	Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure)	Dermbnd sln sl+ slx sq cm	2026
`Q4429`	Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure)	Dermbnd chn, chx per sq cm	2026
`Q4431`	Pma skin substitute product, not otherwise specified (list in addition to primary procedure)	Pma skin substitute, nos	2026
`Q4432`	510(k) skin substitute product, not otherwise specified (list in addition to primary procedure)	510(k) skin subs, nos	2026
`Q4433`	361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)	361 hct/p skin subs, nos	2026
`Q4435`	Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Renati membrane per sq cm	2026
`Q4436`	Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure)	Renati ac membrane per sq cm	2026
`Q4437`	Revival ac, per square centimeter (add-on, list separately in addition to primary procedure)	Revival ac per sq cm	2026
`Q4438`	Pretect, per square centimeter (add-on, list separately in addition to primary procedure)	Pretect per sq cm	2026
`Q4439`	Instagraft, per square centimeter (add-on, list separately in addition to primary procedure)	Instagraft per sq cm	2026
`Q4440`	Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure)	Curamatrix per sq cm	2026
`Q5001`	Hospice or home health care provided in patient's home/residence	Hospice or home hlth in home	2007
`Q5002`	Hospice or home health care provided in assisted living facility	Hospice/home hlth in asst lv	2007
`Q5003`	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	Hospice in lt/non-skilled nf	2007
`Q5004`	Hospice care provided in skilled nursing facility (snf)	Hospice in snf	2007
`Q5005`	Hospice care provided in inpatient hospital	Hospice, inpatient hospital	2007
`Q5006`	Hospice care provided in inpatient hospice facility	Hospice in hospice facility	2007
`Q5007`	Hospice care provided in long term care facility	Hospice in ltch	2007
`Q5008`	Hospice care provided in inpatient psychiatric facility	Hospice in inpatient psych	2007
`Q5009`	Hospice or home health care provided in place not otherwise specified (nos)	Hospice/home hlth, place nos	2007
`Q5010`	Hospice home care provided in a hospice facility	Hospice home care in hospice	2010
`Q5098`	Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg	Inj ustekinumab-srlf, 1 mg	2025
`Q5099`	Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg	Inj ustekinumab-stba, 1 mg	2025
`Q5100`	Injection, ustekinumab-kfce (yesintek), biosimilar, 1 mg	Inj ustekinumab-kfce, 1 mg	2025
`Q5101`	Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram	Injection, zarxio	2015
`Q5103`	Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg	Injection, inflectra	2018
`Q5104`	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	Injection, renflexis	2018
`Q5105`	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units	Inj retacrit esrd on dialysi	2018
`Q5106`	Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	Inj retacrit non-esrd use	2018
`Q5107`	Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg	Inj mvasi 10 mg	2019
`Q5108`	Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg	Injection, fulphila	2018
`Q5110`	Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram	Nivestym	2018
`Q5111`	Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg	Injection, udenyca 0.5 mg	2019
`Q5112`	Injection, trastuzumab-dttb, biosimilar, (ontruzant), 10 mg	Inj ontruzant 10 mg	2019
`Q5113`	Injection, trastuzumab-pkrb, biosimilar, (herzuma), 10 mg	Inj herzuma 10 mg	2019
`Q5114`	Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg	Inj ogivri 10 mg	2019
`Q5115`	Injection, rituximab-abbs, biosimilar, (truxima), 10 mg	Inj truxima 10 mg	2019
`Q5116`	Injection, trastuzumab-qyyp, biosimilar, (trazimera), 10 mg	Inj., trazimera, 10 mg	2019
`Q5117`	Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg	Inj., kanjinti, 10 mg	2019
`Q5118`	Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg	Inj., zirabev, 10 mg	2019
`Q5119`	Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg	Inj ruxience, 10 mg	2020
`Q5120`	Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg	Inj pegfilgrastim-bmez 0.5mg	2020
`Q5121`	Injection, infliximab-axxq, biosimilar, (avsola), 10 mg	Inj. avsola, 10 mg	2020
`Q5122`	Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg	Inj, nyvepria	2021
`Q5123`	Injection, rituximab-arrx, biosimilar, (riabni), 10 mg	Inj. riabni, 10 mg	2021
`Q5124`	Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	Inj. byooviz, 0.1 mg	2022
`Q5125`	Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram	Inj, releuko 1 mcg	2022
`Q5126`	Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg	Inj alymsys 10 mg	2023
`Q5127`	Injection, pegfilgrastim-fpgk (stimufend), biosimilar, 0.5 mg	Inj, stimufend, 0.5 mg	2023
`Q5128`	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	Inj, cimerli, 0.1 mg	2023
`Q5129`	Injection, bevacizumab-adcd (vegzelma), biosimilar, 10 mg	Inj, vegzelma, 10 mg	2023
`Q5130`	Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg	Inj, fylnetra, 0.5 mg	2023
`Q5133`	Injection, tocilizumab-bavi (tofidence), biosimilar, 1 mg	Inj, tofidence, 1 mg	2024
`Q5134`	Injection, natalizumab-sztn (tyruko), biosimilar, 1 mg	Inj, tyruko, 1 mg	2024
`Q5135`	Injection, tocilizumab-aazg (tyenne), biosimilar, 1 mg	Inj, tyenne, 1 mg	2024
`Q5136`	Injection, denosumab-bbdz (jubbonti/wyost), biosimilar, 1 mg	Inj. denosumab-bbdz, 1 mg	2024
`Q5137`	Injection, ustekinumab-auub (wezlana), biosimilar, subcutaneous, 1 mg	Inj, wezlana, sub cu, 1 mg	2024
`Q5138`	Injection, ustekinumab-auub (wezlana), biosimilar, intravenous, 1 mg	Inj, wezlana, iv, 1 mg	2024
`Q5140`	Injection, adalimumab-fkjp, biosimilar, 1 mg	Inj adalimumab-fkjp, 1 mg	2025
`Q5141`	Injection, adalimumab-aaty, biosimilar, 1 mg	Inj adalimumab-aaty, 1 mg	2025
`Q5142`	Injection, adalimumab-ryvk biosimilar, 1 mg	Inj adalimumab-ryvk, 1 mg	2025
`Q5143`	Injection, adalimumab-adbm, biosimilar, 1 mg	Inj adalimumab-adbm, 1 mg	2025
`Q5144`	Injection, adalimumab-aacf (idacio), biosimilar, 1 mg	Inj, idacio, 1 mg	2025
`Q5145`	Injection, adalimumab-afzb (abrilada), biosimilar, 1 mg	Inj, abrilada, 1 mg	2025
`Q5146`	Injection, trastuzumab-strf (hercessi), biosimilar, 10 mg	Inj, hercessi, 10 mg	2025
`Q5147`	Injection, aflibercept-ayyh (pavblu), biosimilar, 1 mg	Inj, aflibercept-ayyh, 1 mg	2025
`Q5148`	Injection, filgrastim-txid (nypozi), biosimilar, 1 microgram	Inj, nyposi 1 mcg	2025
`Q5149`	Injection, aflibercept-abzv (enzeevu), biosimilar, 1 mg	Inj, aflibercept-abzv, 1 mg	2025
`Q5150`	Injection, aflibercept-mrbb (ahzantive), biosimilar, 1 mg	Inj, aflibercept-mrbb, 1 mg	2025
`Q5151`	Injection, eculizumab-aagh (epysqli), biosimilar, 2 mg	Inj, eculizumab-aagh, 2 mg	2025
`Q5152`	Injection, eculizumab-aeeb (bkemv), biosimilar, 2 mg	Inj, eculizumab-aeeb, 2 mg	2025
`Q5153`	Injection, aflibercept-yszy (opuviz), biosimilar, 1 mg	Inj, aflibercept-yszy, 1 mg	2025
`Q5154`	Injection, omalizumab-igec (omlyclo), biosimilar, 5 mg	Inj, omlyclo, 5 mg	2025
`Q5155`	Injection, aflibercept-jbvf (yesafili), biosimilar, 1 mg	Inj, aflibercept-jbvf, 1 mg	2025
`Q5156`	Injection, tocilizumab-anoh (avtozma), biosimilar, 1 mg	Inj, tocilizumab-anoh, 1 mg	2025
`Q5157`	Injection, denosumab-bmwo (stoboclo/osenvelt), biosimilar, 1 mg	Inj, denosumab-bmwo, 1 mg	2025
`Q5158`	Injection, denosumab-bnht (bomyntra/conexxence), biosimilar, 1 mg	Inj, denosumab-bnht, 1 mg	2025
`Q5159`	Injection, denosumab-dssb (ospomyv/xbryk), biosimilar, 1 mg	Inj, denosumab-dssb, 1 mg	2025
`Q5160`	Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg	Inj, jobevne, 10 mg	2026
`Q5161`	Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg	Inj, denosumab-kyqq, 1 mg	2026
`Q5162`	Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg	Inj, denosumab-nxxp, 1 mg	2026
`Q5164`	Injection, ustekinumab-hmny (starjemza), biosimilar, 1 mg	Ustekinumab-hmny, 1 mg	2026
`Q5165`	Injection, denosumab-mobz (oziltus), biosimilar, 1 mg	Inj, denosumab-mobz, 1 mg	2026
`Q5166`	Injection, denosumab-desu (osvyrti/jubereq), biosimilar, 1 mg	Inj, denosumab-desu, 1 mg	2026
`Q5167`	Injection, denosumab-qbde (enoby/xtrenbo), biosimilar, 1 mg	Inj, denosumab-qbde, 1 mg	2026
`Q5168`	Injection, ranibizumab-leyk (nufymco), biosimilar, 0.1 mg	Inj. nufymco, 0.1 mg	2026
`Q5169`	Injection, pegfilgrastim-unne (armlupeg), biosimilar, 0.5 mg	Inj, armlupeg, 0.5 mg	2026
`Q5170`	Injection, aflibercept-boav (eydenzelt), biosimilar, 1 mg	Inj, aflibercept-boav, 1 mg	2026
`Q5171`	Injection, denosumab-mobz (boncresa), biosimilar, 1 mg	Inj, den (boncres), bio, 1mg	2026
`Q5172`	Injection, filgrastim-laha (filkri), biosimilar, 1 microgram	Inj, filkri, 1 mcg	2026
`Q5173`	Injection, denosumab-adet (ponlimsi), biosimilar, 1 mg	Inj, denosumab-adet, 1 mg	2026
`Q9001`	Assessment by chaplain services	Chaplain assessment	2020
`Q9002`	Counseling, individual, by chaplain services	Chaplain counsel individu	2020
`Q9003`	Counseling, group, by chaplain services	Chaplain counsel group	2020
`Q9004`	Department of veterans affairs whole health partner services	Va whole health partner serv	2021
`Q9950`	Injection, sulfur hexafluoride lipid microspheres, per ml	Inj sulf hexa lipid microsph	2016
`Q9951`	Low osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml	Locm >= 400 mg/ml iodine,1ml	2005
`Q9953`	Injection, iron-based magnetic resonance contrast agent, per ml	Inj fe-based mr contrast,1ml	2005
`Q9954`	Oral magnetic resonance contrast agent, per 100 ml	Oral mr contrast, 100 ml	2005
`Q9955`	Injection, perflexane lipid microspheres, per ml	Inj perflexane lip micros,ml	2005
`Q9956`	Injection, octafluoropropane microspheres, per ml	Inj octafluoropropane mic,ml	2005
`Q9957`	Injection, perflutren lipid microspheres, per ml	Inj perflutren lip micros,ml	2005
`Q9958`	High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml	Hocm <=149 mg/ml iodine, 1ml	2005
`Q9959`	High osmolar contrast material, 150-199 mg/ml iodine concentration, per ml	Hocm 150-199mg/ml iodine,1ml	2005
`Q9960`	High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml	Hocm 200-249mg/ml iodine,1ml	2005
`Q9961`	High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml	Hocm 250-299mg/ml iodine,1ml	2005
`Q9962`	High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml	Hocm 300-349mg/ml iodine,1ml	2005
`Q9963`	High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml	Hocm 350-399mg/ml iodine,1ml	2005
`Q9964`	High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml	Hocm>= 400mg/ml iodine, 1ml	2005
`Q9965`	Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	Locm 100-199mg/ml iodine,1ml	2008
`Q9966`	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	Locm 200-299mg/ml iodine,1ml	2008
`Q9967`	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	Locm 300-399mg/ml iodine,1ml	2008
`Q9968`	Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg	Visualization adjunct	2010
`Q9982`	Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries	Flutemetamol f18 diagnostic	2016
`Q9983`	Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries	Florbetaben f18 diagnostic	2016
`Q9991`	Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg	Buprenorph xr 100 mg or less	2018
`Q9992`	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	Buprenorphine xr over 100 mg	2018
`Q9996`	Injection, ustekinumab-ttwe (pyzchiva), subcutaneous, 1 mg	Ustekinumab- ttwe sub cu inj	2025
`Q9997`	Injection, ustekinumab-ttwe (pyzchiva), intravenous, 1 mg	Ustekinumab-ttwe iv inj 1 mg	2025
`Q9998`	Injection, ustekinumab-aekn (selarsdi), biosimilar, 1 mg	Inj ustekinumab-aekn, 1 mg	2025
`Q9999`	Injection, ustekinumab-aauz (otulfi), biosimilar, 1 mg	Inj ustekinumab-aauz 1 mg	2025